161例脑出血患者脑微出血情况调查  

Investigation on cerebral microbleeds condition of 161 patients with cerebral hemorrhage

作　　者：祁学章[1] 梅炳银[2] 徐俊峰[2] 王娜[2] 舒志刚[2] 

机构地区：[1]湖北省鄂州市中心医院老年病科,湖北鄂州436000 [2]湖北省鄂州市中心医院神经内科,湖北鄂州436000

出　　处：《实用临床医药杂志》2017年第7期16-20,共5页Journal of Clinical Medicine in Practice

摘　　要：目的探讨脑出血患者发生脑微出血(CMBs)的相关危险因素。方法采用1.5T磁共振观察161例脑出血幸存者。根据脑出血的部位进行分组分析(58例脑叶出血,103例非脑叶出血)。结果 88例患者(55%)在脑出血开始时就发现脑微出血(CMBs),76例患者(47%)在随访中发现脑微出血(CMBs)。可以作为预测因子的包括在脑出血开始时发现≥1个脑微出血、陈旧性脑出血。根据脑出血部位分组,非脑叶出血组患者的脑微出血与腔隙状态、应用抗血小板药物相关。在脑叶出血患者组中,脑微出血与影像学显示的较大脑出血相关。结论 CMBs的预后和相关因素根据出血部位的不同而有差异。Objective To explore associated factors of cerebral microbleeds （CMBs） in pa- tients with intracerebral hemorrhage （ICH）. Methods A total of 161 ICH patients were detected by 1.5T magnetic resonance imaging. Patients were divided into different groups according to ICH loca- tion （58 cases with lobar ICH, 103 cases with non-lobar ICH）. Results Eighty-eight （55%） pa- tients hadCMBs at ICH onset, and 76 （47%） had CMBs during follow-up. Predictors of incident CMBs were ≥ 1 CMBs at ICH onset and old radiological macrohemorrhage. In the patients with non- lobar hemorrhage, CMBs was associated with lacunar state and antiplatelet drug use. In patients with lobar hemorrhage, CMBs was associated with large brain hemorrhage showed by imaging display. Conclusion The prognosis and related factors of CMBs are different according to the location of hem- orrhage.

关 键 词：抗血小板药物 脑出血 脑微出血 危险因素 

分 类 号：R743.34[医药卫生—神经病学与精神病学]