《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (02): 162-163.

• 临床研究 • 上一篇    下一篇

脑出血复发因素探讨及防治

袁进国;王志明;谭振美;曹藏柱   

  1. 中国人民解放军第251医院神经外科，河北张家口市 075000
  • 收稿日期:2008-09-18 出版日期:2009-02-01 发布日期:2009-02-01

Recurrent Factors and Prevention of Cerebral Hemorrhage

YUAN Jin-guo, WANG Zhi-ming, TAN Zhen-mei, et al   

  1. The Department of Neurosurgery, the 251st Hospital of PLA, Zhangjiakou 075000, Hebei, China
  • Received:2008-09-18 Published:2009-02-01 Online:2009-02-01

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摘要： 目的 探讨复发性脑出血的临床特点和相关危险因素，以及有效防治措施。方法 回顾性分析25例复发性脑出血患者的临床资料，探讨其临床特点、发病机制以及防治措施。结果 25例患者共有27次复发，复发间隔时间2年以内为主，占78%，复发类型以基底核-基底核最多见，其次为脑叶-脑叶，多在对侧复发。再出血的危险因素涉及多方面，并发症多，预后差，对于动脉瘤出血能够及时找到病因是有效控制出血复发的主要措施。结论 积极寻找导致脑出血的主要危险因素是有效控制脑出血复发的关键。

关键词: 复发性脑出血, 危险因素, 防治措施

Abstract: Objective To explore the clinical features and risk factors causing recurrent cerebral hemorrhage, as well as effective prevention and control measures.Methods The data of 25 patients with recurrent cerebral hemorrhage were analyzed retrospectively in order to investigate the clinical characteristics, pathogenesis and prevention and control measures.Results 25 patients had a total of 27 times recurrence and 78 per cent of them were within two years. Recurrent types were mainly basal nuclei-basal nuclei type, followed by the cerebral lobe-cerebral lobe type, and the recurrence more occurred in the contralateral hemisphere. Re-bleeding risk factors included complications, poor prognosis. For bleeding aneurysm, it was a major measure of effectively controlling bleeding recurrence to fine out the cause of disease in time.Conclusion Actively looking for major risk factor causing cerebral hemorrhage is the key of effectively controlling recurrence of cerebral hemorrhage.

Key words: recurrent cerebral hemorrhage, risk factors, preventive measures