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目的探讨非高血压性自发性脑出血(SICH)的诊治特点。方法回顾性分析70例SICH患者的临床资料。结果 70例患者均急诊手术治疗,按格拉斯哥预后评分(GOS),恢复良好32例,中度残疾18例,重度残疾7例,植物人5例,死亡8例。出血原因为脑动静脉畸形40例,脑肿瘤卒中10例,血管淀粉样改变及玻璃样变7例,蛛网膜囊肿5例,海绵状血管瘤2例,烟雾病2例,未发现明显异常4例。结论 SICH的治疗和预后关键在于早期诊断、及时判断出血原因以及尽早手术。
Objective To investigate the diagnosis and treatment of non-hypertensive spontaneous intracerebral hemorrhage (SICH). Methods The clinical data of 70 patients with SICH were retrospectively analyzed. Results Seventy patients underwent emergency surgery. According to the Glasgow Outcome Scale (GOS), 32 patients recovered well, 18 moderate disability, 7 severe disability, 5 vegetative disease and 8 death. Bleeding was caused by cerebral arteriovenous malformations in 40 cases, brain tumor in 10 cases, vascular amyloidosis and hyaline degeneration in 7 cases, 5 cases of arachnoid cyst, 2 cases of cavernous hemangioma, 2 cases of moyamoya disease, no obvious abnormalities 4 example. Conclusion The key to the treatment and prognosis of SICH lies in early diagnosis, timely diagnosis of the cause of bleeding and early operation.