摘要
目的探讨青年人脑出血的病因,危险因素及预后。方法对137例青年脑出血患者(≤45岁)的临床资料进行回顾性分析。结果有明确病因者106例(77.37%),病因不明者31例(22.63%),其中先天性脑血管畸形51例(37.23%),高血压41例(29.93%),先天性脑动脉瘤5例(3.65%),脑静脉血栓形成4例(2.92%),脑胶质瘤并出血2例(1.46%),线粒体脑肌病2例(1.46%),抗凝治疗1例(0.73%)。主要危险因素有:饮酒、吸烟、家族史。经治疗基本痊愈103例(75.18%),显著进步21例(15.33%),死亡13例(9.49%)。结论青年人脑出血的病因以脑动静脉畸形和高血压最常见,大多数患者预后良好。
Objective To explore the etiology, risk factors and prognosis of cerebral hemorrhage in youth. Methods Clinical data of 137 young patients (≤45 years) with cerebral hemorrhage were analyzed retrospectively. Results The causes of 106 patients (77.37%) were identified while those of the other 31 patients (22.63%) were unknown. Among those with clear etiology, congenital cerebrovascular malformation accounted for 51 cases(37.23%),hypertension 41 cases(29.93%),congenital cerebral aneurysm 5 cases(3.65%),cerebral venous thrombosis 4 cases(2.92%),neurogliocytoma complicated by hemorrhage 2 cases(1.46%), mitochondrial encephalomyopathy 2 cases(1.46%),overanticoagulation 1 case(0.73%).The main risk factors were wine-drinking, smoking and family history. After treatment, 103 patients (75.18%) were almost recovered, 21 (15.33%) were markedly improved, and 13(9.49%) died. Conclusion The most common causes of cerebral hemorrhage in youth are cerebrovascular malformation and hypertension and majority of the patients are with favorable prognosis.
出处
《中华神经医学杂志》
CAS
CSCD
2005年第3期259-261,共3页
Chinese Journal of Neuromedicine
