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目的通过探讨年轻人高血压脑出血的临床特点,唤起人们对年轻人高血压病防治知识的重视。方法对157例开颅治疗的40mL以上高血压脑基底节区出血病人进行回顾性分析,比较年轻人与中老年人血肿量、发病后即刻意识障碍率、术前意识障碍率、瞳孔变化率、手术时机、血肿清除量及预后,并进行统计学处理。结果两组病人出血量、手术清除血肿量均相当,但年轻人发病后即刻意识障碍率、术前意识障碍率、瞳孔变化率高,GCS评分低,手术时机较早,但预后与中老年人无显著性差异。结论40mL以上年轻人高血压脑出血与中老年人相比,发病急、进展快、病情重,及时手术后预后同中老年人。要降低年轻人高血压脑出血的危害,重在防治年轻人高血压病。
Objective To explore the clinical features of hypertensive intracerebral hemorrhage in young people and to arouse people’s attention to the prevention and treatment of hypertension in young people. Methods A retrospective analysis was performed on 157 patients with craniofacial hemorrhage of 40 mL or more of hypertensive cerebral basal ganglia. The hematoma volume of young and middle-aged and elderly patients was compared. The incidence of consciousness disturbance, preoperative consciousness disturbance rate, pupil change rate, Timing of surgery, hematoma clearance and prognosis, and statistical analysis. Results The amount of hemorrhage and the amount of hematoma removed in both groups were quite similar. However, the rate of consciousness disturbance, preoperative disturbance of consciousness, pupil change rate, GCS score were low, and the timing of operation was earlier, but the prognosis of middle-aged and elderly patients No significant difference. Conclusion Compared with middle-aged and elderly people, the hypertensive intracerebral hemorrhage of more than 40 mL in young people has acute onset, rapid progression, serious illness and timely prognosis after middle and old age. To reduce the risk of hypertensive cerebral hemorrhage in young people, focusing on prevention and treatment of hypertension in young people.