Clinical analysis of 51 patients with severe hypertensive intracerebral hemorrhage complicated with gastroparesis
10.3760/cma.j.issn.1008-6315.2014.08.025
- VernacularTitle:重症高血压脑出血并发胃瘫51例临床分析
- Author:
Shengfang LIAO
;
Hanmin CHEN
;
Guoxin WU
;
Yiwang ZHANG
;
Guohe HUANG
;
Dingguo GUAN
- Publication Type:Journal Article
- Keywords:
Severe hypertensive intracerebral hemorrhage;
Gastroparesis;
Delayed gastric emptying;
Treatment
- From:
Clinical Medicine of China
2014;30(8):866-868
- CountryChina
- Language:Chinese
-
Abstract:
Objective To sum up the clinical characteristics and the diagnostic and therapeutic principle of severe hypertensive intracerebral hemorrhage complicated with gastroparesis.Methods The clinical data of 51 patients with severe hypertensive intracerebral hemorrhage complicated with gastroparesis were retrospectively analyzed.Results Of the patients who died,3 died of over-severe hemorrhage,and 1 died of acute respiratory distress syndrome caused by aspiration,as well as one died of respiratory failure resulting from pulmonary infection after aspiration.None died of digestive tract complication.Twenty-one patients(41.18％) needed feeding via naso-intestinal tube.Thirty patients (58.82％) were recovered within two weeks and 14 patients (27.45％) were recovered within the third week,and those who recovered beyond three weeks accounted for 3.92％ (n =2).Conclusion The gastroparesis complicating severe hypertensive intracerebral hemorrhage is considered as a functional disorder rather than mechanical obstruction.It is mainly on the basis of symptoms and signs in combination with gastroscopy or radiography that the diagnosis can be made.The conservative treatment (including nasal feeding in some patients) should be applied to the disorder.
