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目的 :探讨复发性脑出血的发生率 ,出血部位 ,复发时间。方法 :对 1990年 12月~ 2 0 0 0年 12月在我院住院的 3 2例再出血病例进行分析。结果 :3 2例再发或复发性脑出血占我院同期 478例幸存者的 4.72 %。有高血压病史 2 3例 ( 71.9% ) ;第一次出血到第二次出血时间以一年内复发率最高 ( 3 4 4% ) ;复发时间最短 6个月 ,最长达 9年。再出血发生于对侧 2 3例占 71.9% ,同侧 9例占 2 8.1%。无 1例发生于原出血部位。结论 :复发性脑出血与高血压关系密切 ,血压的波动最可能导致脑出血的复发 ,高血压的防治是避免复发性脑出血发生的关键
Objective: To investigate the incidence of recurrent cerebral hemorrhage, bleeding site, recurrence time. Methods: A total of 32 cases of rebleeding hospitalized in our hospital from December 1990 to December 2000 were analyzed. Results: 32 cases of recurrent or recurrent cerebral hemorrhage accounted for 4.72% of the 478 survivors in our hospital. The history of hypertension was 23 (71.9%). The first bleeding time to the second bleeding time had the highest recurrence rate within one year (34.4%). The shortest recurrence time was 6 months up to 9 years. Rebleeding occurred in 21 cases of contralateral 71.9%, 9 cases of ipsilateral accounted for 2 8.1%. No one occurred in the original bleeding site. Conclusions: Recurrent cerebral hemorrhage is closely related to hypertension. Fluctuation of blood pressure is most likely to lead to recurrence of cerebral hemorrhage. Prevention and treatment of hypertension is the key to avoid recurrent cerebral hemorrhage