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重症高血压脑出血发病急,病情重,往往不容许或来不及进行脑脊液和脑血管造影等辅助检查而于短时间内死亡。因此,主要根据病史和体格检查做出诊断。本组病例为我院1961～1967年和1972～1979年14年间的死亡病例。男564例,女436例;年龄50～69岁占66.6%,70～79岁占21.9%。除少数高龄脑动脉硬化病人血压不高外,其余病人或有高血压病史或入院时检查血压明显增高。65.1%的病例在活动中发病,安静或睡眠中发病者占13.8%,激动或生气等精神因素下发病者占8.2%。
Severe hypertensive cerebral hemorrhage in acute onset, severe illness, often do not allow or too late to cerebrospinal fluid and cerebral angiography and other auxiliary tests and died in a short period of time. Therefore, based on medical history and physical examination to make a diagnosis. The patients in our hospital from 1961 to 1967 and 1972 to 1979 14 years of deaths. There were 564 males and 436 females, accounting for 66.6% of the patients aged 50-69 years and 21.9% of the patients aged 70-79 years. In addition to a small number of elderly patients with cerebral arteriosclerosis blood pressure is not high, the rest of the patients or have a history of hypertension or admission blood pressure was significantly higher. 65.1% of the cases were active in the activity, 13.8% of the patients were found to be quiet or sleeping, and 8.2% of the patients were under the mental condition such as agitation or anger.