摘要
目的 探讨中青年高血压脑出血患者的病因、临床特点及预后。方法 分析38例45岁以下中青年高血压脑出血患者病因、临床特点、CT表现及预后 ,并进行了遗传学方面的调查。结果 中青年高血压患者发病前均未进行有效的血压检测及控制 ,近半数患者有明显的家族遗传史 ,临床以突然发病 ,进展快 ,进行性意识障碍及偏瘫为主。CT表现主要为内外囊间出血,1/3破入脑室,早期(7h内)手术效果好。结论 早期手术可以降低该病的死亡率。
Objective To discuss the etiology, clinical features and prognosis of hypertensive cerebral hemorrhage. Methods The causes, clinical features, CT manifestations and prognosis of 38 cases of hypertensive cerebral hemorrhage (<45 years) were studied, and their family history were also investigated. Results All these young patients didn't have their blood pressure detected and controled effectivly before falling ill. Nearly half patients had obvious family history. Clinical features were sudden ill, quick progression, conscious disturbance and hemiplegia. Those who were operated within 7 hours had better prognosis. Conclusion Early operation could reduce the mortality. The youth with family history of hypertention should detect blood pressure regularly to reduce the incidence of this disease.
出处
《浙江临床医学》
2001年第7期479-480,共2页
Zhejiang Clinical Medical Journal
关键词
中青年
高血压脑出血
预后
治疗
Youth Hypertensive cerebral hemorrhage Genetics Prognosis
