摘要
目的探讨中青年人脑出血的临床特点。方法选择86例15～45岁的脑出血患者，分析其病因、出血部位和危险因素。结果有明确病因者63例，其中高血压病31例，动静脉畸形15例，海绵状血管瘤5例，动脉瘤3例，Moyamoya病3例，星形胶质细胞瘤1例，髓母细胞瘤1例，原发性血小板减少性紫癜1例，白血病2例，肾病综合征1例；病因不明者23例。出血部位分别是基底节出血35例，脑叶出血31例，脑干出血9例，小脑出血11例。最常见的危险因素是高血压病（36．05％）和高甘油三酯血症（34．88％）。结论高血压病和脑血管畸形是中青年人脑出血的常见病因，出血部位有助于病因诊断；高血压病、高甘油三酯血症是常见危险因素。
Objective To explore the clinical features of cerebral hemorrhage in young - middle - aged people. Methods 86 young patients （aged 15 -45 years） with cerebral hemorrhage were taken to study their etiology, location of bleeding and risk factors. Results Clear etiology was found in 63 cases ： they were 31 cases of hypertension, 15 cerebral arteriovenous malformation, 4 cavernous hemangionma, 3 cerebral aneurysm, 3 Moyamoya disease, 3 astrocytoma, 3 medulloblastoma, 1 primary thrombo - cytopenic purpura, 2 leukemia and 1 nephrotic syndrome. The other 21 cases were of no known etiology. The hemorrhage was located in the basal ganglia in 35 cases, cerebral lobe in 31 cases, brain stem in 9 cases and cerebellum in 11 cases. The most common risk factors were hypertension （accounting for 36.05% ） and high TG - emia （34.88%）. Conclusion Hypertensive disease and cerebral vascular malformation are the common etiology of cerebral hemorrhage in young - middle - aged young people. The location of bleeding helps to make etiological diagnosis. The main risk factors are hypertension and hyperlipidemia.
出处
《徐州医学院学报》
CAS
2008年第3期172-174,共3页
Acta Academiae Medicinae Xuzhou
关键词
中青年人
脑出血
病因
危险因素
young - middle - aged people
cerebral hemorrhage
etiology
risk factor
