复发性脑出血51例临床研究

目的:探讨复发性脑出血的临床特点、发病机制和危险因素。方法:回顾性分析51例复发性脑出血患者的临床资料,并与同期住院的首发脑出血患者进行比较。结果:49例病人2次出血、2例病人为3次出血,41.18%在1年内再发。再发类型以基底节—基底节型最多见(58.82%),脑叶—脑叶型次之(11.76%),多在对侧再发。与首次患者相比再发性脑出血多有高血压病,病程较长且预后不良。结论:复发性脑出血有其特殊的临床表现,脑出血后1年内再出血危险性较大,积极控制高血压有助于防止脑出血复发。

The clinical research of recurrent intracerebral hemorrhage in 51 case

Objective: To investigate the clinical characteristic,pathogenesis and risk factors of recurrent intracerebral hemorrhage.Methods: A retrospective study on clinical data in 51 patients suffering from recurrent intracerebral hemorrhage was carried out,compared to the patients with initial intracerebral hemorrhage at the same time in hospital.Results: Among the 51 cases,49 cases were found to have twice intracerebral hemorrhage,2 cases have third intracerebral hemorrhage,the incidence of recurrent intracerebral hemorrhage in patients was 41.18%.The most common type of recurrent intracerebral hemorrhage was basal nuclei_basal nuclei hemorrhage,accounted for 58.82%,lobus_lobus hemorrhage accounted for 11.76%,mostly recurrented at opposite side of the initial loci. Compared with initial intracerebral hemorrhage,the patients with recurrent intracerebral hemorrhage almost have hypertension,the long course and bad prognosis.Conclusion: Recurrent intracerebral hemorrhage have special clinical presentations,intracerebral hemorrhage was prone to recurrent within a year,effective control for hypertension may be helpful to prevent the recurrence of cerebral hemorrhage.