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澄清原发性颅内出血病人再出血的危险因素,对其治疗有着启示作用,并有助于改进对再出血的预防。为此,作者对原发性颅内出血幸存者出院后再出血的发生率及预报因素做了分析。 全组首次原发性颅内出血幸存者112例,其中男73例,女39例,平均年龄63.7±10.2岁,平均随访84.1月(1～189月)。随访期间,27例(24％)病人发生1次或多次再出血(均经脑CT或尸检证实),其中21例(78％)发生于随访的头5年(第1～5年各为8、4、4、1、4例),最长1例发生在11.5年时。未再出血病人的5年和10年的累积生存率分别为
To clarify the risk of rebleeding in patients with primary intracranial hemorrhage has implications for its treatment and may help improve the prevention of rebleeding. To this end, the authors analyzed the incidence and predictors of recurrent haemorrhage among survivors of primary intracranial hemorrhage. The first group of 112 patients with primary intracranial hemorrhage, including 73 males and 39 females, average age 63.7 ± 10.2 years, with an average follow-up of 84.1 months (January to 189 months). During follow-up, 27 (24%) patients had one or more rebleeds (confirmed by brain CT or autopsy), of which 21 (78%) occurred during the first 5 years of follow-up 4, 4, 1, 4 cases), the longest case occurred in 11.5 years. The 5-year and 10-year cumulative survival rates of non-rebleeding patients were respectively