摘要
[目的]探讨青年人脑出血的病因、危险因素、临床表现及预后,并对危险因素进行预防。[方法]应用我校流行病学教研室调查表对我院2002～2006年收入的158例首发青年脑出血患者(15～45岁)的临床资料进行统计和分析。[结果]有明确病因的患者中高血压51例(32.28%),脑血管畸形43例(27.22%),内科疾病23例(14.56%),血液系统疾病16例(10.13%),妊娠状态2例(1.27%)。经治疗痊愈34例(21.52%),好转71例(44.94%),未愈20例(12.66%),死亡33例(20.89%)。青年脑出血主要危险因素有高血压,脑血管畸形,血液系统疾病,而饮酒、吸烟对预后没有明显的影响。[结论]青年人脑出血的病因和危险因素以高血压和脑动静脉畸形最常见,早期干预可降低脑出血发病率和死亡率。
[Objective] To explore the etiological faeors, risk factors, clinical manifestation and prognosis of young adults with spontaneous intracerebral hemorrhage （ICH）, and to take efforts to prevent the risk factors. [Methods] A total of 158 young patients with first-onset stroke due to ICH at the age of 15 to 45 years in our college were investigated with questionnaires designed by the epidemiologic research and teaching office, and their clinical information were collected to analyze. [Results] Among these young patients with ICH, 51 patients with hypertension accounted for 32.28%, 43 patients with cerebral vascular malformations accounted for 27.22%, 23 patients with internal diseases made up of 14.56%, 16 patients with hematological system diseases accounted for 10.13% and 2 patients were diagnosed as pregnancy with 1.27%. After treatment, 34 patients recovered （21.52%）, 71 patients improved （44.94%）, 20 patients uncured （12.66%） and 33 patients died （20.89%） .The risk factors for patients with ICH were hypertension, cerebral vascular malformations and hematological system diseases. While drinking and smoking had no effect on the prognosis. [Conclusion] The risk factors and etiological factors for the young patients with ICH were hypertension and cerebral vascular malformations. Early intervention could reduce the incidence and mortality of spontaneous intracerebral hemorrhage.
出处
《现代预防医学》
CAS
北大核心
2008年第8期1587-1589,共3页
Modern Preventive Medicine
基金
重庆市科委自然科学基金资助课题(CSTC,2006EB5030)
关键词
脑出血
青年
危险因素
病因
预后
Intracerebral hemorrhage
Young adult
Risk factors
Etiological factor
Prognosis
