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急性缺血性卒中患者的消化道出血:文献综述

Gastrointestinal Bleeding in Patients With Acute Ischemic Stroke: A Literature Review.

作者信息

Aziz Muhammad Ali, Bojja Srikaran, Aziz Ahmed Ali, Javed Nismat, Patel Harish

机构信息

Internal Medicine, BronxCare Health System, New York City, USA.

Internal Medicine, BronxCare Health System, Icahn School of Medicine at Mount Sinai, New York City, USA.

出版信息

Cureus. 2024 Jan 30;16(1):e53210. doi: 10.7759/cureus.53210. eCollection 2024 Jan.

Abstract

Stroke is an infarction of the central nervous system (brain, spinal cord, or retina) that results from a disruption in cerebral blood flow either due to ischemia or hemorrhage. Complications of acute stroke are common and include pneumonia, urinary tract infection, myocardial infarction, deep vein thrombosis, and pulmonary embolism, among several others, all of which increase the risk of poor clinical outcomes. Gastrointestinal bleeding is a well-known complication that can occur during the acute phase of stroke. In this review, we have summarized the existing data regarding the incidence, pathophysiology, risk factors, morbidity, mortality, and management strategies for gastrointestinal bleeding in patients with acute ischemic stroke.

摘要

中风是中枢神经系统(脑、脊髓或视网膜)的梗死,由缺血或出血导致的脑血流中断引起。急性中风的并发症很常见,包括肺炎、尿路感染、心肌梗死、深静脉血栓形成和肺栓塞等,所有这些都会增加不良临床结局的风险。胃肠道出血是中风急性期可能发生的一种众所周知的并发症。在本综述中,我们总结了关于急性缺血性中风患者胃肠道出血的发病率、病理生理学、危险因素、发病率、死亡率及管理策略的现有数据。

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本文引用的文献

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Diagnosis of gastrointestinal bleeding: A practical guide for clinicians.胃肠道出血的诊断:临床医生实用指南。
World J Gastrointest Pathophysiol. 2014 Nov 15;5(4):467-78. doi: 10.4291/wjgp.v5.i4.467.

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