年轻人急性多灶性脑出血危险因素临床分析

Clinical risk factor analysis of acute multifocal cerebral hemorrhage

目的探讨年轻人急性多灶性脑出血(AMCH)的临床特征、危险因素、及早期干预。方法对我院2005年4月-2010年10月收治年龄在17-45岁72例年轻人AMCH患者进行回顾性分析。结果年轻人AMCH占同期脑出血患者的8.33%,其中高血压(68.05%),吸烟(43.05%),饮酒(37.50%),糖尿病(4.73%),高脂血症(48.61),家族史(27.78%)。AMCH虽然发病率低,但临床表现复杂多样,其主要危险因素为高血压病等。结论年轻人急性多灶性脑出血发病的主要危险因素是高血压病,治疗上应早期控制原发病,减少并发症出现。

【Objective】 To investigate the clinical feature,risk factors,and intervening early of acute multifocal cerebral hemorrhage（AMCH） in young people.【Methods】 The clinical data of 72 patients age from 17 to 45 with AMCH,since April 2005 to October 2010 in our hospital,were analyzed retrospectively.【Results】 AMCH in young people caused 8.33% of cerebral hemorrhage,in which hypertension（68.05%）,smoking（43.05%）,alcohol（37.50%）,diabetes（4.73%）,hyperlipidemia（48.61%）,family history（27.78%）.【Conclusion】 The main risk factors of AMCH in young people is hypertension,control of primary disease should be early and reduce complications.