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目的探讨青年人脑出血的危险因素、防治及预后。方法对49例青年脑出血患者(≤45岁)的临床资料进行回顾性分析。结果临床病因:高血压23例,血管畸形(AVM)及动脉瘤10例,其它病因7例。出血部位:基底节区14例,蛛网膜下腔出血(SAH)13例,脑叶9例,脑干6例,丘脑1例,其它部位6例。结论年轻人脑出血常见原因为高血压、AVM和动脉瘤,CT是首选的诊断性检查,DSA对明确病因有重要价值。
Objective To explore the risk factors, prevention and prognosis of cerebral hemorrhage in young people. Methods The clinical data of 49 young patients with cerebral hemorrhage (≤45 years old) were analyzed retrospectively. Results Clinical etiology: hypertension in 23 cases, vascular malformations (AVM) and aneurysms in 10 cases, other causes in 7 cases. Bleeding site: 14 cases of basal ganglia, 13 cases of subarachnoid hemorrhage (SAH), 9 cases of cerebral lobe, 6 cases of brainstem, 1 case of thalamus and 6 cases of other parts. Conclusions The common causes of cerebral hemorrhage in young people are hypertension, AVM and aneurysm. CT is the first choice of diagnostic test. DSA is of great value to definite cause.