文档介绍：86例中青年人脑出血的临床特点分析
作者:昝坤张尊胜刘永海沈霞
【摘要】目的探讨中青年人脑出血的临床特点。方法选择86例15~45岁的脑出血患者,分析其病因、出血部位和危险因素。结果有明确病因者63例,其中高血压病31例,动静脉畸形15例,海绵状血管瘤5例,动脉瘤3例,Moyamoya病3例,星形胶质细胞瘤1例,髓母细胞瘤1例,原发性血小板减少性紫癜1例,白血病2例,肾病综合征1例;病因不明者23例。出血部位分别是基底节出血35例,脑叶出血31例,脑干出血9例,小脑出血11例。最常见的危险因素是高血压病(%)和高甘油三酯血症(%)。结论高血压病和脑血管畸形是中青年人脑出血的常见病因,出血部位有助于病因诊断;高血压病、高甘油三酯血症是常见危险因素。
【关键词】中青年人;脑出血;病因;危险因素
Astract: Objective To explore the clinical features of cerebral hemorrhage in young-middle-aged people. Methods 86 young patients (aged 15-45 years) with cerebral hemorrhage were taken to study their etiology, location of bleeding and risk factors. Results Clear etiology was found in 63 cases: they were 31 cases of hypertension, 15 cerebral arteriovenous malformation, 4 cavernous hemangionma, 3 cerebral aneurysm, 3 Moyamoya disease, 3 astrocytoma, 3 medulloblastoma, 1 primary thrombo- cytopenic purpura, 2 leukemia and 1 nephrotic syndrome. The other 21 cases were of no known etiology. The hemorrhage was located in the basal ganglia in 35 cases, cerebral lobe in 31 cases, brain stem in 9 cases and cerebellum in 11 cases. The mon risk factors were hypertension (accounting for %) and high TG-emia (%). Conclusion Hypertensive disease and cerebral vascular malformation are mon etiology of cerebral hemorrhage in young-middle-aged young people. The location of bleeding helps to make etiological diagnosis. The main