CAJ | 학술논문

目的：探讨中青年脑出血的临床诊治特点,总结其经验。方法回顾性分析39例中青年脑出血患者的临床资料。结果本组39例脑出血患者,11例患者(28.21%)基本恢复,无明显后遗症,24例患者(61.54%)存在不同的肢体功能障碍,4例脑出血患者(10.26%)发病后6 h内病情进行性加重,出现脑疝、呼吸循环衰竭而导致死亡。结论高血压、脑血管畸形和脑血管瘤是中青年脑出血主要病因,临床以颅内高血压、卒中样表现为主要特征,病情与出血量以及出血部位呈正相关,针对年轻人脑出血的主要病因和危险因素,采取针对性的干预措施,可以降低发病率及死亡率,提高临床疗效。
목적：탐토중청년뇌출혈적림상진치특점,총결기경험。방법회고성분석39례중청년뇌출혈환자적림상자료。결과본조39례뇌출혈환자,11례환자(28.21%)기본회복,무명현후유증,24례환자(61.54%)존재불동적지체공능장애,4례뇌출혈환자(10.26%)발병후6 h내병정진행성가중,출현뇌산、호흡순배쇠갈이도치사망。결론고혈압、뇌혈관기형화뇌혈관류시중청년뇌출혈주요병인,림상이로내고혈압、졸중양표현위주요특정,병정여출혈량이급출혈부위정정상관,침대년경인뇌출혈적주요병인화위험인소,채취침대성적간예조시,가이강저발병솔급사망솔,제고림상료효。
Objective To investigate the clinical characteristics of diagnosis and treatment for cerebral hemorrhage in young and middle-aged patients, and to summarize its experience. Methods A retrospective analysis was made on the clinical data of 39 young and middle-aged patients with cerebral hemorrhage. Results There were 11 cases (28.21%) gained basic recovery without obvious sequelae, 24 cases (61.54%) with different degree of extremity function disturbance, and 4 cases (10.26%) with progressive exacerbation of cerebral hemorrhage in 6 h, who died due to cerebral hernia and respiratory circulatory failure. Conclusion The main causes of young and middle-aged cerebral hemorrhage are hypertension, cerebrovascular malformation, and encephalic angioma. Their main clinical characteristics include intracranial hypertension and stroke manifestation. Patients’condition is positively correlated with bleeding volume and position. Implement of targeted intervention measures for the main causes and risk factors of young cerebral hemorrhage patients can reduce morbidity and mortality, and improve clinical effect as well.