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目的探讨再发性脑出血的临床特点与发病机理。方法对经CT证实的 1 50 0例住院脑出血患者中再发出血 58例患者的临床资料进行回顾分析。结果 58例发生 2次出血 (其中 3例为 3次出血 ) ,脑出血再发率 3 .87% ,2次出血者以基底节 基底节型最多 (60 .0 % ) ,3次出血的 3例均同时有基底节出血。 61 .2 %再出血病灶位于首次出血的对侧 ,2次出血间隔时间大多在 1年内 (41 .37% ) ,基底节 基底节型预后较差。结论再发性脑出血具有特殊的临床表现 ,高血压控制不良可增加再出血的危险 ,基底节 基底节型出血原因多为高血压 ,而脑叶 脑叶型出血很可能与淀粉样脑血管病变有关
Objective To investigate the clinical features and pathogenesis of recurrent intracerebral hemorrhage. Methods A retrospective analysis was performed on the clinical data of 58 patients with recurrent hemorrhage in 1 050 hospitalized patients with cerebral hemorrhage confirmed by CT. Results 58 cases of bleeding occurred 2 times (3 cases of 3 hemorrhage), cerebral hemorrhage recurrence rate of 3.87%, 2 hemorrhage basal ganglia basal ganglia type (60.0%), 3 bleeding 3 Cases of both have basal ganglia bleeding. 61.2% of the rebleeding bleeds were located on the contralateral side of the first hemorrhage, and the interval between two bleeds was mostly within one year (41.37%). The basal ganglia had a poor prognosis. Conclusions Recurrent intracerebral hemorrhage has a special clinical manifestations. Hypertension control can increase the risk of rebleeding. Basal ganglia and basal ganglia hemorrhage are mostly caused by hypertension. Cerebral lobe cerebral hemorrhage is probably related to amyloid-cerebrovascular disease related