【摘要】 目的:探讨再发脑出血的临床特点和危险因素。方法:回顾性分析54例再发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:54例患者62次再发,再发间隔时间为3.7±3.5年,34.4%在1年以内再发。再发类型以基底节-基底节最多见,其次为基底节-丘脑和基底节-脑叶,多在对侧再发,很少在同一部位再发。与首发患者相比,再发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再发脑出血正相关,首次发病年龄与再发脑出血负相关。结论:脑出血后3年以内再发危险性较大,积极控制高血压有助于防止脑出血再发。更多还原

【Abstract】 Objective:To investigate the clinical features and risk factors of recurrent intracerebral hemorrhage(ICH).Methods:Clinical data of 54 patients with recurrent ICH were analyzed and compared with those patiets with first-ever ICH.Results:Sixty-two recurrent ICH were seen in 54 patients.The mean interval between 2 episodes was 3.7±3.5 years (ranging 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 recurrcnt ICH showed a significantly higher frequency and longer course of hypertension,a11 with a poor control.Multivariate logistic analysis showed that the hypertension course was positively correlated and the age of the first hemorrhage was negatively associated with tbe 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.更多还原