高血压性脑出血青年患者特点分析  

Characteristics of hypertensive intracerebral hemorrhage in young patients

作　　者：张征[1] 叶祖森[1] 韩钊[1] 曹云刚[1] 黄良通[1] 

机构地区：[1]温州医学院附属第一医院脑血管科,325000

出　　处：《浙江医学》2011年第10期1477-1479,共3页Zhejiang Medical Journal

基　　金：温州市科技局资助项目（Y2004A014）

摘　　要：目的探讨高血压性脑出血青年患者的临床特点。方法选择住院治疗的高血压导致脑出血青年患者（〈45岁），比较其与对照组（≥45岁的中老年患者）在出血危险因素、影像学、临床特点、治疗、并发症及短期预后情况有无差异。结果青年脑出血患者的舒张压（DBP）、平均动血压（MAP）及深部脑出血的比例均高于对照组，差异均有统计学意义（均P〈0．05）；两组患者出血体积、治疗及预后的差异均无统计学意义（均P〉0．05）。结论青年高血压脑出血患者的DBP、MAP及脑深部出血比例均高于中老年患者。Objective To investigate the clinical features of hypertensive intracerebral hemorrhage in young patients. Methods Fifty four patients aged under 45 with intracerebral hemorrhage were enrolled in the study and other 162 patients aged ≥45 with the same gender ratio served as controls. The vascular risk, image findings, clinical feature, treatment, complications and short period prognosis were compared between two groups. Results The diastolic blood pressure （DBP） and mean arterial pressure （MAP） and the ratio of deep brain hemorrhage in young patients were higher than those in control groups （P〈 0.05）. There were no significant differences in hematoma volume, treatment and short period prognosis between two groups. Conclusion In- tracerebral hemorrhage in young patients have higher DBP and MAP and more deep brain hemorrhage compared with old ones.

关 键 词：青年人 高血压 脑出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]