Jura E
Department of Vascular Diseases of the Central Nervous System, Institute of Psychiatry and Neurology, Warsaw, Poland.
Acta Neurol Scand. 1987 Sep;76(3):168-71. doi: 10.1111/j.1600-0404.1987.tb03562.x.
The study includes analysis of 498 post-mortems of stroke patients treated in the Department of Vascular Diseases of the CNS Warsaw, in the years 1974-1985. In that group, gastrointestinal complications were found in 120 cases (24.09%) which included 82 cases of ischaemic focus in the brain and 38 cases of haemorrhagic focus due to cerebral haemorrhage. Of the 120 patients with gastrointestinal complications 75 (63.5%) had massive haemorrhage into the lumen of the alimentary tract; in half, gastrointestinal haemorrhage had occurred within 7 days of the stroke. No statistically significant correlation was observed between the type of mucosal lesion and the site of ischaemic or haemorrhagic lesion in the brain.
该研究包括对1974年至1985年期间在华沙中枢神经系统血管疾病科接受治疗的498例中风患者的尸检分析。在该组中,发现120例(24.09%)出现胃肠道并发症,其中包括82例脑缺血灶和38例脑出血所致的出血灶。在120例有胃肠道并发症的患者中,75例(63.5%)发生了消化道腔内大出血;其中一半患者在中风后7天内发生了胃肠道出血。在黏膜病变类型与脑缺血或出血性病变部位之间未观察到统计学上的显著相关性。