131例自发性脑内出血的临床分析

Clinical analysis of 131 cases with spontaneous intracerbral hemorrhage

报告自发性脑内出血１３１例（不包括高血压性脑出血）。手术７６例，非手术５５例，手术死亡率１４．５％，非手术死亡率２１．８％。本文对自发性脑内出血原因、治疗原则及急诊手术的适应证进行了讨论。

Abstract cases with spontaneous intracerebral hemorrhage (excepted hypertensive hemorrhage) are reported. 80% of the cases the hemarrhages were located in the hemispheres. 82 cases were comfirmed their hemorrhagic causes (62. 6%). The most common cause was cerebral arteriovenous malformations (AVMs) ,accounting for 39. 7%. Less often were the Moyamoya disease and intracranial aneurysms.76 cases were operated, the mortality was 14. 5%. The cases (49/131) of unknown cause were also analysed. Our conclution is that pan cerebral angiography should be performed on every patient with spontaneous intracerebral hemorrhase, in order to verify the causes of hemorrhage. But the time of angiography should be carefully chosen according to the conditions of each patient.