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目的探讨再发脑出血的临床表现及危险因素。方法回顾性分析82例再发脑出血患者的临床资料、可能的危险因素。结果再发脑出血占同期脑出血的6.83%,高血压患者占再发脑出血的74.9%,再发脑出血时间间隔为3.2±2.8年,患者平均年龄72.3岁,主要出血部位为基底节(52.4%)及脑叶出血(25.6%),多在对侧复发,很少在同侧复发,高血压控制不良及血管淀粉样变性是再发脑出血的主要危险因素。结论再发脑出血的机制是多方面的。积极控制高血压有助于防止多数再出血的发生。
Objective To investigate the clinical manifestations and risk factors of recurrent intracerebral hemorrhage. Methods Retrospective analysis of 82 cases of recurrent intracerebral hemorrhage in patients with clinical data, the possible risk factors. The results of recurrent cerebral hemorrhage accounted for 6.83% of cerebral hemorrhage over the same period, hypertensive patients accounted for 74.9% of recurrent cerebral hemorrhage, recurrent cerebral hemorrhage interval of 3.2 ± 2.8 years, the average age of 72.3 years, the main bleeding site for the basal ganglia 52.4%) and lobar lobar hemorrhage (25.6%), mostly in the contralateral recurrence, rarely in the ipsilateral recurrence, poor control of hypertension and vascular amyloidosis are the main risk factors for recurrent cerebral hemorrhage. Conclusion The mechanism of recurrent cerebral hemorrhage is multifaceted. Active control of high blood pressure helps prevent the occurrence of most rebleeding.