|
|||||
|
|
| 自发性多灶性脑出血52例临床分析 | |
| 引用本文： | 郑建玲,陈跃鸿,王升东. 自发性多灶性脑出血52例临床分析[J]. 福建医药杂志, 2012, 0(5): 4-6 |
| 作者姓名： | 郑建玲 陈跃鸿 王升东 |
| 作者单位： | 福建医科大学附属漳州市医院神经内科,漳州363000 |
| 摘 要： | 目的探讨自发性多灶性脑出血(SMCH)的病因、临床特点及治疗。方法对52例SMCH患者的CT影像、发病特点、临床资料进行总结和分析。结果 SMCH占同期脑出血病人的2.74%;主要病因为高血压病(44.2%),血液系统疾病(15.4%),其他病因包括可疑淀粉样脑血管病、脑血管畸形、使用抗凝溶栓药物、颅内静脉窦血栓形成、脑肿瘤、动脉瘤、烟雾病及病因不明等;出血好发部位主要为脑叶(66.67%),其次为基底节(21.67%);死亡率达30.77%。结论 SMCH虽发病率低,但病死率高,尽早查明病因,选择合适的治疗有助于改善预后。 |
| 关 键 词： | 自发性多灶性脑出血 高血压 淀粉样脑血管病 |
Clinical analysis on 52 cases of spontaneous multifocal cerebral hemorrhage |
|
| ZHENG Jianling,CHEN Yue- hong,WANG Shengdong. Clinical analysis on 52 cases of spontaneous multifocal cerebral hemorrhage[J]. Fujian Medical Journal, 2012, 0(5): 4-6 | |
| Authors: | ZHENG Jianling CHEN Yue- hong WANG Shengdong |
| Affiliation: | . Department of Neurology, the Affiliated Zhangzhou Hospital, Fujian Medical University, Zhangzhou, Fujian 363000, China |
| Abstract: | Objective To discuss the causes, characteristics and treatment methods of spontaneous multifocal cerebral hemorrhage （SMCH） associated. Methods The clinical characteristics and imaging data of 52 patients suffered from SMCH were analyzed and summarized. Results The main causes of SMCH were hypertension （44. 2%）, nosohemia （15.4%）. The others were doubt{u[ cerebral amyloid angiopathy, Moyamoya disease, unknown reason etc. The bleeding parts were mainly in cerebral lobes （66.67%）. The next place was in basal ganglion. The mortality was 30.77%. Conclusion Though the morbidity of SMCH is low, but the death rate is higher. Founding the causes and controlling the patients＇ condition is most important. |
| Keywords: | spontaneous multifocal cerebral hemorrhage hypertension cerebral amyloid angiopathy |
| 本文献已被 CNKI 维普 等数据库收录！ | |