Gastrointestinal complications after stroke

1, gastrointestinal bleedingStress ulcer and gastrointestinal bleeding are common complications of stroke. Gastrointestinal bleeding is ofte

Content

1, gastrointestinal bleeding

Stress ulcer and gastrointestinal bleeding are common complications of stroke. Gastrointestinal bleeding is often related to the severity of stroke. The reason is that the main damage on hypothalamus and brainstem function and after stroke; in addition, associated with the extensive use of adrenal cortical hormone, thrombolytic therapy, gastric injury.

Control measures:

Reduce brain damage, active treatment of primary disease;

Actively protect the gastrointestinal tract, reasonable use of antacids, gastric mucosal protective agent, with adrenal cortical hormone;

Rational use of hemostatic agent;

To strengthen support treatment, blood transfusion is needed;

The necessary endoscopic or surgical treatment.

2, vomit and hiccup

Persistent and stubborn vomiting should guard against posterior cranial fossa or abdominal lesions, the patients with lateral vomiting, prevent inhalation of vomit the trachea and lungs. Patients with intractable hiccup should be suspected near diaphragm stimulation lesions, involving the medullary respiratory center of posterior fossa lesions and dehydration, azotemia, treatment can be chlorpromazine and metoclopramide to symptomatic treatment, individual cases of hiccup as bad omen, handling difficult.

 

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