复发性脑出血51例临床研究

The clinical research of recurrent intracerebral hemorrhage in 51 case

目的:探讨复发性脑出血的临床特点、发病机制和危险因素。方法:回顾性分析51例复发性脑出血患者的临床资料,并与同期住院的首发脑出血患者进行比较。结果:49例病人2次出血、2例病人为3次出血,41.18%在1年内再发。再发类型以基底节—基底节型最多见(58.82%),脑叶—脑叶型次之(11.76%),多在对侧再发。与首次患者相比再发性脑出血多有高血压病,病程较长且预后不良。结论:复发性脑出血有其特殊的临床表现,脑出血后1年内再出血危险性较大,积极控制高血压有助于防止脑出血复发。

Objective ： To investigate the clinical characteristic, pathogenesis and risk factors of recurrent intracerebral hemorrhage. Methods ： A retrospective study on clinical data in 51 patients suffering from recurrent intracerebral hemorrhage was carried out, compared to the patients with initial intracerebral hemorrhage at the same time in hospital. Results ： Among the 51 cases, 49 cases were found to have twice intracerebral hemorrhage, 2 cases have third intracerebral hemorrhage, the incidence of recurrent intracerebral hemorrhage in patients was 41.18%. The most common type of recurrent intracerebral hemorrhage was basal nuclei-basal nuclei hemorrhage, accounted for 58.82%, lobus-lobus hemorrhage accounted for 11.76 %, mostly recurrented at opposite side of the initial loci. Compared with initial intracerebral hemorrhage, the patients with recurrent intracerebral hemorrhage almost have hypertension, the long course and bad prognosis. Conclusion ： Recurrent intracerebral hemorrhage have special clinical presentations, intracerebral hemorrhage was prone to recurrent within a year, effective control for hypertension may be helpful to prevent the recurrence of cerebral hemorrhage.