【摘要】 目的探讨青年脑出血的病因、危险因素及治疗。方法对我院收治的108例急性自发性脑出血青年患者的临床资料进行统计和分析。结果 108例患者中有明确病因者85例(78.7%),病因不明者23例(21.3%),其中高血压42例(38.9%),脑血管畸形34例(31.5%),脑静脉血栓形成4例(3.7%),抗凝治疗3例(2.8%),血液系统疾病2例(1.8%)。主要危险因素有高血压病、吸烟、饮酒、家族史。16例(14.8%)行手术治疗,21例(19.4%)行血管内介入治疗,基本治愈56例(51.9%),好转39例(36.1%),死亡13例(12%)。结论青年脑出血的病因以高血压和脑血管畸形最常见,危险因素为高血压病、吸烟、饮酒、家族史,手术及介入治疗是有效手段。更多还原

【Abstract】 Objective To explore the etiology,risk factors,surgical operation and prognosis of cerebral hemorrhage in youths.Methods A total of 108 young patients with first-onset stroke due to cerebral hemorrhage were treated in our hospital. Their clinical data were statistically analyzed.Results Of these patients,the etiology of 85 patients( 78. 7%) was identified but etiology of rest 23( 21. 3%) was unknown.Among those with clear etiology,42 patients( 38. 9%) were caused by artery atherosclerotic,34( 31. 5%) were caused by congenital cerebrovascular malformation,4( 3. 7%) were due to cerebral venous thrombosis,3( 2. 8%) were caused by overanticoagulation and 2( 1. 8%) were caused by hematological system diseases. The main risk factors were hypertension,smoking,winedrinking and family history.There were 16 cases( 14. 8%) were treated with surgery and 21( 19. 4%) were treated with intravascular intervention.After treatment,56 patients( 51. 9%) were almost recovered,39( 36. 1%) were improved and 13( 12%) died. Conclusion The most common causes of cerebral hemorrhage in youths are artery atherosclerotic and cerebrovascular malformation.The most common risk factors of cerebral hemorrhage in youths are hypertension.Early intervention could reduce the incidence and mortality of spontaneous intracerebral hemorrhage.更多还原