青年非高血压脑出血病因的DSA分析

DSA analysis of etiology in young patients with non-hypertension cerebral hemorrhage

目的 探讨应用数字减影血管造影技术（DSA）对非高血压青年脑出血患者的诊断价值。方法 对165例非高血压脑出血青年患者行数字减影脑血管造影,对患者出现脑出血的原因进行总结分析。结果 DSA检查阳性患者为129例,阳性率为78.2%。病因包括动脉瘤、动静脉畸形及烟雾病。其中动脉瘤95例（73.6%）,年龄37~44岁,平均（41.35±2.17）岁,临床主要表现为昏迷及眼部玻璃体出血;动静脉畸形23例（17.8%）,年龄21~39岁,平均（29.13±6.27）岁,临床主要表现为前期的癫痫发作合并眼睛同向偏盲;烟雾病11例,占8.5%（11/129）,年龄18~23岁,平均（21.16±1.25）岁,临床主要表现为前期肢体麻木症状。结论 数字减影脑血管造影对青年非高血压脑出血病因诊断明确,引起脑出血主要病因为动脉瘤。

Objective To explore the application of digital subtraction angiography （DSA） appeared to analyze the causes of non‐hypertensive cerebral hemorrhage in youth. Methods 165 young cases with non‐hypertensive cerebral hemorrhage per‐formed digital subtraction angiography ,we analyzed the causes of cerebral hemorrhage patients summarily.Results The posi‐tive detection of DSA occurred in 129 cases with the positive rate of 78.2%. Causes included aneurysm ,arteriovenous malfor‐mation and moyamoya disease ,the aneurysm happened in 95 cases（73.6% ） with the age between 37 and 44 years old ,and the average age of （41.35 ± 2.17） years old ,which had main clinical manifestations of coma and eye vitreous hemorrhage;23 cases with venous malformation（17.8% ） had early seizures complicated with eyes homonymous hemianopia ,age ranged from 21 to 39 years old with the average age of （29.13 ± 6.27） years old;a total of 11 cases（8.5% ） with Moyamoya disease ,age from 18 to 23 years old with mean age （21.16 ± 1.25） years old ,owned the symptom of early limb numbness. Conclusion Digital subtraction angiography can definite etiology of non‐hypertensive cerebral hemorrhage in youth patients ,The main cause should be aneurysm.