实用心脑肺血管病杂志
實用心腦肺血管病雜誌
실용심뇌폐혈관병잡지
PRACTICAL JOURNAL OF CARDIAC CEREBRAL PNEUMAL AND VASCULAR DISEASE
2014年
7期
91-92
,共2页
刘倩绫%罗效萍%许金明%钱孟佼
劉倩綾%囉效萍%許金明%錢孟佼
류천릉%라효평%허금명%전맹교
青年%脑出血%体征和症状%治疗%预后
青年%腦齣血%體徵和癥狀%治療%預後
청년%뇌출혈%체정화증상%치료%예후
Youth%Cerebral hemorrhage%Signs and symptoms%Therapy%Prognosis
目的:分析青年原发性脑出血(PICH)的危险因素、临床特征、治疗及预后。方法选择我院神经外科2012年1-9月收治的青年 PICH 患者95例,回顾性分析所有患者的临床资料,包括一般资料、PICH 的危险因素、影像学检查结果、治疗及预后。结果95例患者中有饮酒史者59例(62.1%),吸烟史者42例(44.2%),高血压病史者13例(13.7%),否认高血压病史的82例患者中54例(65.9%)发现不同程度的血压升高;颅脑 CT 或 MRI 检查提示基底核区出血53例(55.8%);57例(60.0%)采用开颅手术治疗,38例(40.0%)采用保守治疗;住院期间发生并发症34例(49.5%),死亡10例(10.5%),其余85例出院时哥拉斯哥预后量表(GOS)评分2~5分,平均(3.8±1.3)分。结论高血压、吸烟、饮酒是青年 PICH 的危险因素,出血部位以基底核区为主,主要采用手术治疗且预后较好。
目的:分析青年原髮性腦齣血(PICH)的危險因素、臨床特徵、治療及預後。方法選擇我院神經外科2012年1-9月收治的青年 PICH 患者95例,迴顧性分析所有患者的臨床資料,包括一般資料、PICH 的危險因素、影像學檢查結果、治療及預後。結果95例患者中有飲酒史者59例(62.1%),吸煙史者42例(44.2%),高血壓病史者13例(13.7%),否認高血壓病史的82例患者中54例(65.9%)髮現不同程度的血壓升高;顱腦 CT 或 MRI 檢查提示基底覈區齣血53例(55.8%);57例(60.0%)採用開顱手術治療,38例(40.0%)採用保守治療;住院期間髮生併髮癥34例(49.5%),死亡10例(10.5%),其餘85例齣院時哥拉斯哥預後量錶(GOS)評分2~5分,平均(3.8±1.3)分。結論高血壓、吸煙、飲酒是青年 PICH 的危險因素,齣血部位以基底覈區為主,主要採用手術治療且預後較好。
목적:분석청년원발성뇌출혈(PICH)적위험인소、림상특정、치료급예후。방법선택아원신경외과2012년1-9월수치적청년 PICH 환자95례,회고성분석소유환자적림상자료,포괄일반자료、PICH 적위험인소、영상학검사결과、치료급예후。결과95례환자중유음주사자59례(62.1%),흡연사자42례(44.2%),고혈압병사자13례(13.7%),부인고혈압병사적82례환자중54례(65.9%)발현불동정도적혈압승고;로뇌 CT 혹 MRI 검사제시기저핵구출혈53례(55.8%);57례(60.0%)채용개로수술치료,38례(40.0%)채용보수치료;주원기간발생병발증34례(49.5%),사망10례(10.5%),기여85례출원시가랍사가예후량표(GOS)평분2~5분,평균(3.8±1.3)분。결론고혈압、흡연、음주시청년 PICH 적위험인소,출혈부위이기저핵구위주,주요채용수술치료차예후교호。
Objective To analyze the risk factors,clinical features,treatment and prognosis of young patients with primary intracerebral hemorrhage(PICH). Methods 95 young PICH patients in Department of Neurosurgery,the First People′s Hospital of Honghe Prefecture,Mengzi County,were chosen from January to September 2012,the clinical data of all patients were retrospectively analyzed,including general information,risk factors for PICH,imaging examination results,treatment and prognosis. Results In the 95 cases,59(62. 1% )had drinking history,42(44. 2% )had smoking history,13(13. 7% ) had hypertension history,54 cases(65. 9% )were found different degrees of elevated blood pressure in the 82 cases who had de-nied hypertension history. by brain CT or MRI examination results,53 cases(55. 8% )had basal ganglia hemorrhage. 57 cases (60. 0% )received surgical treatment,38 cases(40. 0% )received conservative treatment;34 cases(49. 5% )had compli-cations during hospitalization;10 cases died(10. 5% ),and the GOS score of other 85 cases were 2 ~ 5,average(3. 8 ± 1. 3). Conclusion Hypertension,smoking,alcohol drinking are risk factors for young patients with PICH,the major location of hemorrhage was basal ganglia,mainly treated by surgical treatment and the prognosis is good.