青年脑出血患者危险因素的分析

Analysis of risk factors for intracerebral hemorrhage in young adults

目的探讨青年脑出血患者的危险因素。方法对180例青年脑出血患者（〈45岁）的病史（高血压、血管畸形、糖尿病、心脏病、血脂异常及家族史）以及嗜好（吸烟、饮酒）进行回顾性分析。结果高血压为青年脑出血的主要危险因素，占54．4％，血管畸形次之，占46．7％，而糖尿病和心脏病并非青年脑出血的主要危险因素。吸烟饮酒史在青年脑出血中比例高达70．0％。结论高血压是青年脑出血的主要危险因素，脑血管畸形居第二位，低胆固醇血症、吸烟、饮酒及家族史与脑出血的发病有一定关系。

Objective To explore risk factors of young adult intracerebral hemorrhage. Methods The risk factors of 180 young adult intraeerebral hemorrhage were studied respectively. These risk factors included hypertension, vascular malfomlation, di- abetes, heart diseases, lipidemia, family history, tobacco and alcohol use. Results Hypertension was the most frequent risk factor （54.4%）. VaseNar malformation was secondary（46.7% ）. Diabetes and heart diseases were not much important in young adults with intracerehral hemorrhage. Almost 70.0% young adult intracerebral hemorrhage had hobbies of smoking and drinking. Conclusion Hypertension was an important risk factor in young adult intraeerebral hemorrhage. Vascular malformation was secondary to hypertension. Low cholesterol, smoking, drinking and family history eontribute to the causes of young adult intracerebral hemorrhage.