Gastrointestinal Bleeding in Patients with Severe Head Injury, Hypertensive Intracerebral Hemorrhage, and Ruptured Cerebral Aneurysm

重症頭部外傷，高血圧性脳出血，破裂脳動脈瘤に併発した胃腸出血

Yoshihara Takashi

Kitaoka Tamotsu

Tomihara Kenji

Kiya Katsuzo

Nomura Masayuki

Hiroshima Journal of Medical Sciences

[PISSN] 0018-2052

[EISSN] 2433-7668

[NCID] AA00664312

As a complication in patients with head injury or cerebral stroke, gastrointestinal bleeding is an important problem in neurosurgery.

We reviewed 411 cases of hypertensive intracerebral hemorrhage, ruptured cerebral aneurysm and severe head injury in order to ascertain the pathologic condition of the gastrointestinal bleeding and to introduce an effective method of therapy. In 411 cases, gastrointestinal bleeding was observed in 19 cases (4.6%). Among the cases of hypertensive intracerebral hemorrhage or ruptured cerebral aneurysm, the frequency was high in males. Among the cases of severe head injury, the frequency was high in children. Dogmatyl® had no prophylactic effect for gastrointestinal bleeding. Administration of steroids had no relationship to gastrointestinal bleeding. Of the 19 cases with the gastrointestinal bleeding, laparotomy was performed on 6 cases. Of the 19 cases, 10 cases died. From our review, laparotomy is considered to be the most satisfactory method of therapy.

Cerebral aneurysm

Head injury

Hypertensive intracerebral hemorrhage

Gastrointestinal bleeding

Medical sciences [ 490 ]

eng

Hiroshima University School of Medicine

[ISSN] 0018-2052

[NCID] AA00664312

[PMID] 6602795