隐匿性自发性颅内出血的临床研究  

The Clinical Study of the Occult Spontaneous Intracranial Hemorrhage

作　　者：刘宏利[1] 张世杰[1] 尹延伟[1] 刘思齐[1] 白丽[1] 

机构地区：[1]空军总医院急诊部,北京100142

出　　处：《河北医学》2012年第6期737-740,共4页Hebei Medicine

摘　　要：目的:为提高临床医师对隐匿性自发性颅内出血病症的认识。方法:总结分析327例隐匿性自发性颅内出血病例的临床资料,归纳出该病症的临床特点、合并症分布及发病诱因。结果:①"持续不缓解的头痛"是该病症的主要临床特点;②该病症主要发生在61岁及以上的年龄患者,占本组病例的71.25%,与非老龄组比较,P﹤0.01;③便秘、疲劳、长期口服抗血小板药物、情绪剧烈变化等是最为常见的发病诱因;④隐匿性自发性颅内出血的好发部位按概率分别为硬膜下腔37.6%、脑叶33.3%、外囊16.2%、蛛网膜下腔12.8%,平均出血量分别为11.2±4.7mL、9.7±4.2mL、4.1±1.8mL、6±2mL。结论:提高对隐匿性自发性颅内出血临床特点的认识,积极使用必要的辅助检查设备,尤其是头颅CT扫描,可大大提高诊断率。Objective： The aim of this study was to improve the cognition of clinician to the occult spontaneous intracranial hemorrhage. Method： We analysed the clinical data of 327 occult spontaneous intracra- nial hemorrhage patients. The clinical features, complication distribution, pathogenic factors of the disease were summed up from all study cases. Result： ①The main clinical features of the disease was continuing headache. ②The disease was significantly more frequent in the elderly patients （above age 61 years） than other participants （71.25% versus 28.75% ; P 〈 0. 01 ）. ③Constipation, fatigue, long-term oral antiplatelet drugs and emotional intense c sites and average bleeding volume of space （ 37.6 %, 11.2±4.7 mL ） hanges occult were.the most common predisposing factors. ④The predilection spontaneous intracranial hemorrhage were respectively subdural lobe of brain{ 33.3% ,9.7±4.2mL） external capsule （ 16.2% ,4.1 ± 1. 8mL） and subarachnoid space112. 8% ,6±2mL）. Conclusion： The diagnostic rate of the occult spontaneous intracranial hemorrhage will be significantly promoted through improving recognition of the clinical characteristics, using actively the necessary examination equipment, especially cranial CT scan.

关 键 词：隐匿性出血 颅内出血 头痛 

分 类 号：R743.34[医药卫生—神经病学与精神病学]