摘要
目的分析345例出血性脑卒中青年患者的临床资料,探讨发病原因、临床特征及预后,为青年出血性脑卒中的临床诊疗及预防提供依据。方法选取2006年10月至2016年10月本院收治的345例青年出血性脑卒中患者为研究对象,对其临床资料进行回顾性分析。结果 345例青年出血性脑卒中患者中,男性患者比例高于女性,41~45岁患者比例高于其他年龄段,冬春季发病患者比例高于夏秋季,活动状态下发病患者比例高于安静状态,上述差异均具有显著性(P<0.05)。青年出血性脑卒中最常见出血部位为蛛网膜下腔(37.68%),其次为基底节区(20.87%);最主要发病原因为高血压(26.09%),其次为脑动静脉畸形(18.84%)。经积极治疗,345例青年出血性脑卒中患者痊愈50例(14.49%),好转180例(52.17%),未愈30例(8.70%),死亡85例(24.64%)。导致青年出血性脑卒中病死率最高的病因为血液系统疾病,其次为瘤卒中;多灶性出血病死率最高,其次为小脑出血。结论青年出血性脑卒中以男性、41~45岁、冬春季和活动状态时发病多见,最常见出血部位为蛛网膜下腔,最主要发病原因为高血压。由血液系统疾病导致的多灶性出血病死率最高,应引起临床重视。
Objective To analyze the etiology, clinical features and prognosis of 345 cases of youth hemorrhagic stroke patients, to provide basis for clinical diagnosis, treatment and prevention for young hemorrhagic stroke. Method 345 cases of young patients with hemorrhagic stroke from October 2006 to October 2016 in our hospital were selected as the research objects and the clinical data were retrospectively analyzed. Result The proportion of male was higher than female in 345 cases of young hemorrhagic stroke patients, the incidence ratio of patients with 41～45 years old was higher than other age groups, the incidence rate of patients in winter and spring was higher than that in summer and the incidence rate of patients with active state was higher than that in quiet state, all of the above differences were significant （P〈0.05）. The most common bleeding for youth hemorrhagic stroke was subarachnoid hemorrhage （37.68%）, followed by basal ganglia hemorrhage （20.87%）. The main cause was hypertension （26.09%）, followed by cerebral arteriovenous malformations （18.84%）. After treatment, in 345 cases of young patients with hemorrhagic stroke, 50 cases （14.49%） recovered, 180 cases （52.17%） improved, 30 cases （8.70%） unrecovered, 85 cases （24.64%） died. The highest mortality cause of hemorrhagic stroke was blood system diseases, followed by tumor stroke; the highest fatality rate of bleeding was multifocal bleeding, followed by small cerebral hemorrhage. Conclusion Youth hemorrhagic stroke in male, 41～45 years old, winter and spring and active state are more common, the most common bleeding site is subarachnoid space and the main cause of morbidity is hypertension. The multifocal bleeding caused by blood system diseases have the highest mortality rate, should be attracted the attention in clinical.
出处
《中国医学前沿杂志（电子版）》
2017年第4期36-39,共4页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
基金
国家科技支撑计划(2011BAI08B05)
关键词
出血性脑卒中
青年
病因
预后
Hemorrhagic stroke
Youth
Etiology
Prognosis
作者简介
通讯作者：徐宏E—mail：7729258@qq．com
