摘要
目的 探讨复发性脑出血的临床特点和相关危险因素。方法 回顾性分析 5 6例复发性脑出血患者临床资料 ,并与同期住院的首发脑出血患者进行比较。结果 5 6例患者共有 6 4次复发 ,复发间隔时间为 3.7±3.5年 ,34.4 %在 1年以内复发。复发类型以基底节 基底节最多见 ,其次为基底节 丘脑和基底节 脑叶 ,多在对侧复发 ,很少在同一部位复发。与首发患者相比 ,复发性脑出血患者多有高血压病 ,病程较长且控制不良。多变量Logistic分析显示高血压病程与复发脑出血正相关 ,首次发病年龄与复发脑出血负相关。结论 脑出血后 3年以内复发危险性较大 ,积极控制高血压有助于防止脑出血复发。
Objective To investigate the clinical features and risk factors of recurrent intracerebral hemorrhage (ICH). Methods Clinical data of 56 patients with recurrent ICH were analyzed and compared with those of patients with first-ever ICH. Results Sixty-four recurrences were seen in 56 patients. The mean interval between 2 episodes was 3.7±3.5 years (range 2 months to 13 years),34.4% occurred within 1 year. The most common pattern of recurrence was “ganglionic-ganglionic”,followed by “ganglionic-thalamic” and “ganglionic-lobar”. Most recurrences occurred contralaterally and seldom at the same site as the first episode. In contrast to those with first-ever ICH,patients with recurrent ICH showed a significantly higher frequency and longer course of hypertension,all with a poor control. Multivariate Logistic analysis showed that the hypertension course was positively and the age of the first hemorrhage was negatively associated with the recurrence of ICH. Conclusion The risk of recurrence of ICH is relatively high within the first 3 years after the previous hemorrhage. Hypertension control may help the prevention of recurrent ICH.
出处
《中风与神经疾病杂志》
CAS
CSCD
北大核心
2004年第3期234-236,共3页
Journal of Apoplexy and Nervous Diseases
