目的　通过对 4 0例复发性脑出血的发病率、出血部位、易发等相关因素进行综合分析 ,阐述复发性脑出血的临床特点 ,并提出相应的预防措施。方法　对 1995年 5月～ 2 0 0 4年 7月在徐州医学院附属医院神经内科及江苏省盐业公司总医院内科住院的 4 0例再发脑出血病例进行分析。结果　 4 0例再发性脑出血占本院同期脑出血例幸存者的 7%。有高血压病史 31例 (77.5 % ) ;第 1次出血到第 2次出血时间以半年到 2年内复发率最高 (6 7.5 % ) ;复发时间最短 6个月 ,最长达 5年。再出血发生于对侧占 85 .5 % ,同侧占 15 %。结论　复发性脑出血病灶大多在首发病灶的对侧 ,病死、病残率高 ,且再发与高血压关系密切 ,任何引起血压波动的原因都可能导致脑出血的再发 ,控制血压是防止再发性脑出血发生的关键 Objective To summarize the clinical features of recurrent intracerebral hemorrhage (ICH) by analyzing the incidence of recurrent intracerebral hemorrhage (ICH), the site of bleeding, and the risk factors of relapse intracerebral hemorrhage (ICH), and to provide the corresponding preventive measures. Methods From May 1995 to July 2004, 40 cases of recurrent intracerebral hemorrhage hospitalized in Department of Neurology, Affiliated Hospital of Xuzhou Medical College and Department of Internal Medicine of Jiangsu Salt Industry General Hospital were analyzed. Results 40 cases of recurrent cerebral hemorrhage accounted for 7% of survivors of cerebral hemorrhage in our hospital. There were 31 cases with history of hypertension (77.5%). The first bleeding to the second bleeding time had the highest recurrence rate within 6 months to 6 years (6 7.5%). The shortest recurrence time was 6 months up to 5 years. Rebleeding occurred in the contralateral 85.5%, ipsilateral 15%. Conclusions Most of the recurrent cerebral hemorrhage lesions are contralateral to the first lesion, with high mortality and morbidity. The recurrence is closely related to hypertension. Any cause of blood pressure fluctuation may lead to recurrence of cerebral hemorrhage. The control of blood pressure is to prevent The key to the occurrence of cerebral hemorrhage