年轻人脑出血110例病因分析

Etiologic study of intracerebral hemorrhage in young adults

目的 :探讨年轻人脑出血的病因和危险因素。方法 :选择 110例经过影像学证实为脑出血且年龄介于 15～ 4 4岁的患者 ,分析其危险因素、出血部位和发病原因。结果 :最常见的危险因素是高血压 (39.1% )和高甘油三酯血症(38.7% )。出血部位分别是基底节出血 38例 ,脑叶出血 34例 ,其他部位出血 38例。发病原因 :高血压病 4 1例 ,脑血管畸形 (含动静脉畸形、海绵状血管瘤及其他血管畸形 ) 18例 ,动脉瘤 2例 ,肿瘤 6例 ,其他 3例 ,原因不明 4 0例。结论 :高血压病、脑血管畸形和肿瘤是年轻人脑出血的常见原因 。

Objective:To study the etiology of intracerebral hemorrhage (1CH) in young adults (aged 15~44years). Methods: 110 consecutive patients with neuroimaging evidence of 1CH were evaluated. The risk factors, location and causes of 1CH were analyzed. Results: The most frequent risk factors were hypertension (39.1%) and hypertriglyceridemia (38.7%). The location of ICH were basal ganglia (34.5%) lobar (30.9%) and other (34.5%). The most common causes of 1CH were hypertension (37.2%), vascular malformation (16.3%) and tumor (5.4%). Conclusion: Hypertension, vascular malformation and tumor were the most common causes of 1CH in young adults. Hypertension and hypertriglyceridemia were the frequent risk factors.\;