再发脑出血临床特点及其危险因素分析

Approach of recurrent cerebral hemorrhage and risk factors

目的探讨再发脑出血的发生率、临床特点及危险因素。方法回顾性分析127例再发脑出血患者的临床资料,并与同期住院的脑出血患者进行比较。结果1997年1月至2005年12月在我院神经内科住院的1447例患者中,再发脑出血127例,再发率8.77%,第一次出血到第二次出血间隔时间,最短3月,最长12.7年,平均3.1±2.5年。再发类型以基底节—对侧基底节最多见,其次为脑叶—脑叶和基底节—丘脑,多在对侧再发,很少在同一部位再发。与首发脑出血患者比较,再发脑出血患者多与长期高血压病以及血压控制不良有关。结论脑出血后3年内再发危险性较大,积极控制高血压有助于防止脑出血再发。

Objective：to approach the incidence,the clinical features and risk factors of recurrent intra cerebral hemorrhage（ICH）. Methods：Clinical data of 127 patients with recurrent ICH were analyzed and December 2005,of the 1447 patients with fist-ever ICH. Results：Between January 1997 and December 2005,of the 1447 patients admitted to our hospital for cerebral hemorrhage, 127 had a recurrent cerebral hemorrhage,the incidence was 8. 77%. The mean interval between the first and second bleeding episode was 3.1±2.5 years （rang 3 months -12.7 years）. The most common pattern of recurrence was ganglionic-ganglionic, followed lobar-lobar and ganglionic-thalamic. Most recurrence occurred contralate rally and seldom at the same as the first episode. In contrast to those with fist-ever ICH,patients with recurrent ICH showed a longer course of hypertension and irregular anti hypertensive Drugs. Conclusion：The risk of recurrence of ICH is relatively high with in the first 3 years after the previous hemorrhage-Hypertensioncontrol may help the prevention of recurrent ICH.