自发性脑出血的再出血随访分析

Follow-up of rebleeding in patients with intracerebral hemorrhage

对首次脑出血存活者出院后进行２８～８８个月（平均３６．４±２．９个月）的随访，结果显示，在随访期２７．７％的存活者，经历了一次或多次再出血。在正常血压者，再出血好发于灰白质交界处，在高血压病人，当动脉血压控制不良时易发生再出血。后者再出血发生率或病死率高于正常血压者。

In this paper, 101 survivors of intracerebral hemorrhage were followed-up for 28～88 months(average 36.4±2.9) after their discharge. The results showed that 27.7 percent of survivors experienced one or more rebleeding during the followup period , the risk of rebleeding seemed to be particularly high after hemorrhage at the junction of the gray and white matter in the normaltensive patients.When blood pressure was poorly controled in the hypertension patients,the rate of rebleeding or death was higher than that in the normaltension patients.In the normaltension patients , the hemorrhage regarded as the site of amyliod angiopathy.