90例青年人脑出血病因和危险因素分析

目的探讨青年人脑出血的病因和危险因素。方法选择90例15～44岁的脑出血患者，分析其发病原因、出血部位和危险因素。结果病因为高血压病32例，动静脉畸形13例，白血病5例，海绵状血管瘤4例，动脉瘤3例，Moyamoya病3例，脑静脉血栓形成3例，脑肿瘤3例，其他3例，原因不明21例；出血部位分别是基底节出血32例，脑叶出血24例，其他部位出血34例；最常见的危险因素是高血压病（35．6％）和高甘油三酯血症（33．8％）。结论高血压病和脑血管畸形是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、高脂血症是常见危险因素。

The etiology and risk factor's analysis of 90 cases of cerebral hemorrhage in youth

Objective To explore the etiology and risk factors of cerebral hemorrhage in youth. Methods 90 young patients(15~44 years) with cerebral hemorrhage were chosen and their etiology,bleeding part and risk factors were analyzed. Results In etiology hypertension accounted for 32 cases, cerebrovascular malformation 13 cases, angiocavernoma 4 cases, cerebral aneurysm 3 cases, Moyam oya-osis 3 cases, cerebral venous thrombosis 3 cases, cerebral tumor 3 cases, and others 3 cases,21 cases were with unknown etiology. The location of hemorrhagia leave basal ganglia in 32 cases, lobe of brain in 24 cases, other parts 34 cases. The risk factors are hyperlipidemia (35.6%) and high TG-emia (33.8%). Conclusions The most common cases of cerebral hemorrhage in youth to diagnosis of etiology. The main risk factors are hyperte nsion and hyperlipidemia.