报告高血压脑出血再次出血30例,其中剖检10例。再出血距首次出血的时间多为3个月～2年,故可早期功能锻炼。临床特点为意识障碍重,多为四肢瘫,死亡率高。再出血的部位均不在首次出血处,且多在对侧,其原因可能为陈旧出血处机化、疤痕对易出血的小血管起支持和保护作用,同时该处血流量减少,血管内压降低,也起一定作用。 Reported 30 cases of hypertensive intracerebral hemorrhage again bleeding, of which 10 cases of autopsy. Rebleeding from bleeding for the first time more than 3 months to 2 years, it can be early functional exercise. Clinical features for the disturbance of consciousness, mostly quadriplegia, high mortality. Rebleeding sites are not in the first place of bleeding, and more in the contralateral, the reason may be stale old machine, scar bleeding prone small blood vessels play a supporting and protective role, while the Department of blood flow decreased, decreased intravascular pressure , Also play a role.