青年自发性脑出血的病因及临床特点分析  

Spontaneous intracerebral hemorrhage in young patients:causes and clinical characteristics

作　　者：孟艳举[1] 王路[2] 王献清[1] 郝志勇[1] 殷会咏[1] 

机构地区：[1]濮阳市人民医院神经外科,河南濮阳457000 [2]濮阳市人民医院麻醉科,河南濮阳457000

出　　处：《中华神经外科疾病研究杂志》2016年第6期490-492,共3页Chinese Journal of Neurosurgical Disease Research

摘　　要：目的探讨青年自发性脑出血的病因及临床特点。方法回顾分析163例青年自发性脑出血的临床资料,综合分析其诊断与治疗经过。结果病因依次为高血压(30.06%)、动-静脉畸形(19.63%)、动脉瘤(14.11%)、肿瘤卒中(11.04%)、不明原因(10.43%)、烟雾病(7.36%)、海绵状血管瘤(6.13%)、血液病(1.23%);手术治疗118例,保守治疗39例,介入治疗7例;治愈95例(58.28%),好转50例(30.67%),未愈8例(4.91%),死亡10例(6.13%)。结论结合诱因、出血部位及影像检查多能明确自发性脑出血的病因,根据临床表现及时制定治疗措施,预后理想。Objective The causes, diagnosis and treatment of the spontaneous intracerebral hemorrhage in young patients are discussed. Methods In this study, clinical data of 163 patients in young patients with spontaneous intraeerebral hemorrhage （SICH） were analyzed retrospectively and the diagnosis and treatment were discussed. Results A total of 146 eases （89. 57% ） had definite causes, including 49 eases （30. 06% ） of hypertension, 32 eases （19.63%） of intraeranial arteriovenous malformation, 23 eases （ 14. 11% ） of intraeranial aneurysm, 18 eases （11.04%） of tuner apoplexy, 12 eases （7. 36% ） of moyamoya disease, 10 eases （6.13% ） of cavernous hemangioma and 2 eases （1.23%） of hematopathy and 17 eases （10. 43% ） had unclear causes. All 118 eases were treated by surgery, 6 eases with interventional therapy and 39 eases underwent conservative treatment. Ninty-five eases （58.28%） were eured with good prognesis, 50 eases （30.67%） were improved, 8 eases （4.91%） did not improve, and 10 cases （6. 13% ） died. Condusion For most eases, the cause and positions for the hemorrhage are definitely clear by the imaging examinations. The outcomes are satisfactory if timely proper treatment is performed.

关 键 词：自发性脑出血 青年 病因 诊疗 

分 类 号：R651.1[医药卫生—外科学]