76例急性多灶性脑出血的临床分析

Clinical Analysis of 76 Cases of Acute Multi-focal Cerebral Hemorrhage

目的:对急性多灶性脑出血(AMCH)的临床症状进行分析,并探讨AMCH的发病病因及机制以及AMCH诊断及治疗方法。方法:选取笔者所在医院2010年10月-2011年12月收治的76例急性多灶性脑出血的患者病例进行回顾性分析。结果:收治的76例患者,由高血压引起41例,脑血管畸形引起21例,白血病及脑淀粉样血管病引起8例,其他病因引起6例,分别占患者总数的53.9%、27.6%、10.5%和7.9%。76例急性多灶性脑出血患者中,发病部位为基底节40例,脑叶部位23例,脑干和小脑部位为7例和6例,分别占患者总数的52.6%、30.3%、9.2%和7.9%。结论:急性多灶性脑出血疾病的病因很多,主要为高血压引起,多采用CT诊断,对出血部位及出血量进行检查。AMCH疾病发病较快,死亡率也较高,需及时处理和治疗。

Objective：To analysis acute multifocal cerebral hemorrhage（AMCH） for the clinical symptoms,and discuss the cause,mechanism,diagnosis and treatment method of AMCH.Method：76 cases from October 2010 to December 2011 of acute multifocal cerebral hemorrhage in our hospital were studied retrospectively.Result：In 76 cases,41 cases were caused by hypertension,21 cases were caused by vascular malformations,8 cases were caused by leukemia and brain amyloid disease,6 were caused by other reasons,and they take up of the total number of patients with 53.9%,27.6%,10.5% and 8.0%.Among 76 cases,the hemorrhage site was the basal ganglia in 40 cases,lobes of the brain in 23 cases,brain stem in 7 cases and cerebellum in 6 cases,those were respectively 52.6%,30.3%,9.2% and 7.9% of the total number of patients.Conclusion：Acute multifocal cerebral hemorrhage disease were causes many reasons,the main cause was high blood pressure.Bleeding amount and site can be diagnosed by CT.AMCH happens fast,has a high mortality,should be handled in time.