高血压对复发性脑出血的影响  

Effects of Hypertension on Recurrent Primary Cerebral Hemorrhage

作　　者：刘汉伟 唐纪文 

机构地区：[1]广东省惠州市中医院内一科,516001

出　　处：《中国实用医药》2007年第14期65-66,共2页China Practical Medicine

摘　　要：目的观察高血压对复发性脑出血(RPCH)的影响。方法在677例有神经影像学证据的脑出血患者中选择35例RPCH进行分析。结果RPCH的发生率5.2%,多发生于首次出血后5年内(74.3%),常见的出血类型为基底节—基底节型(68.6%),其中有高血压病史28例(80.0%),病死率高达37.1%,而临床治疗有效率仅31.4%。对侧再出血者预后不良。结论RPCH并不少见,高血压是RPCH最常见病因,有效控制血压有助于预防RPCH发生,降低病死率以及提高生存质量。Objective To explore the effects of hypertension on recurrent primary cerebral hemorrhage(RPCH).Methods We evaluated 677 patients with neuroimaging evidence of cerebral hemorrhage and selected 35 with RPCH.Results The happening rate of RPCH was 5.2%.RPCH often took place in five years after the first hemorrhage(74.3%).Its common pattern was ganglionic-ganglionic(68.6%).Among these cases,28 had ever caught hypertension(80.0%),and the death rate of them reached 37.1%.The clinical effective rate of them was just 31.4%.Rebleeding was associated with a poor prognosis.Conclusion RPCH is not uncommon,likely the result of hypertension.Effectively controlling blood pressure is useful to keep RPCH from happening,decreases death rate,and improves the life quality.

关 键 词：高血压 脑出血 复发 预后 

分 类 号：R544.1[医药卫生—心血管疾病] R743.3[医药卫生—内科学]