青年脑出血继续出血78例临床分析

Clinical Analysis of Recurrent Cerebral Hemorrhage in 78 Young Patients

目的了解青年脑出血后继续出血的临床特点。方法对78例青年脑出血继续出血患者的临床资料进行回顾性分析。结果继续出血部位主要位于基底节区(59例,占756%);继续出血时间主要在发病后5h内(487%);血肿扩大基底节区大于脑叶,青年组高于老年组;继续出血与收缩压升高有明显关系;血肿形态不规则是继续出血的危险征象;血肿扩大是病情加重、临床症状恶化,死亡率升高的主要原因。结论充分认识青年脑出血继续出血的临床特点,采取积极的治疗措施,提高治愈率。

Objective: To investigate the clinical characteristics of recurrent cerebral hemorrhage in young patients. Methods: The clinical data of 78 patients with recurrent cerebral hemorrhage were analyzed retrospectively. Results: Recurrent cerebral hemorrhage is mainly located in the basal ganglia(59 cases, 75.6%); and the recurrence often happened within 5 hours after the onset(48.7%); the enlargement of hematoma is more often seen in basal ganglia than in cerebral lobes, and it occurred more likely in young patients than in aged ones; recurrent hemorrhage is related to the increase of systolic blood pressure obviously; irregular hematoma in shape is a risk sign of recurrent hemorrhage; enlarged hematoma is the main cause of deterioration and it causes a high mortality rate.Conclusion: The clinical features of recurrent cerebral hemorrhage in young patients should be known thoroughly. It’s helpful to increase the recovery rate with effective treatment.