脑淀粉样血管病与脑叶出血  

Cerebral Amyloid Angiopathy(CAA) and Cerebral Lobe Hemorrhage

作　　者：汪志云[1] 叶文翔[1] 李蕴琛[1] 

机构地区：[1]天津市第一中心医院神经内科,天津300192

出　　处：《中国慢性病预防与控制》2000年第4期153-155,共3页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的 :为探讨脑淀粉样血管病 (CAA)所致脑出血的临床特点及预后。方法 :对该院 9年来收治的 40例CAA引起的脑出血进行了临床资料分析。其中 9例进行了 7年的随访。结果 :患者年龄为 5 8～ 82岁 ;平均 6 8.5岁。出血位于额叶 19例 ,顶叶 16例 ,枕叶 3例 ,颞叶 2例。 3例在急性期死亡。 9例随访病人 2例进展为痴呆 ;余下 7例均不同程度的精神障碍。结论 :CAA引起的脑出血以 6 0岁以上老年多见 ;出血部位在脑叶 ,其中以额顶最常见 ;急性期病死率约 7.5 %左右 ;患者后期高级神经活动障碍较严重。Objective:In order to ascertain the clinical features of cerebral lobe hemorrhage caused by CAA.Method:Data of 40 cases hospitalized in past 9 years was analyzed and 9 of them were followed up a period of 7 years.Results:The average age of cases was 68 5,ranged from 58 to 82 years old.The locations of hemorrhage in these 40 cases were different,that is 19 in frontal lobe,16 in parietal,3 in occipital,2 in temple.The data of 9 followed up cases showed that 2 of them developed dementia.Other 7 patients had various disorders in mental status.Conclusions:Cerebral hemorrhage caused by CAA occurred mostly in lobus,especially in frontal and parietal.The mortality of this disease is about 7.5% in acute period.The patients had seriously functional disorders in mental and intelligence activities in prognosis.

关 键 词：脑淀粉样血管病 脑叶出血 痴呆 

分 类 号：R743.34[医药卫生—神经病学与精神病学]