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目的探讨中青年脑出血的临床诊治特点,总结其经验。方法回顾性分析39例中青年脑出血患者的临床资料。结果本组39例脑出血患者,11例患者(28.21%)基本恢复,无明显后遗症,24例患者(61.54%)存在不同的肢体功能障碍,4例脑出血患者(10.26%)发病后6 h内病情进行性加重,出现脑疝、呼吸循环衰竭而导致死亡。结论高血压、脑血管畸形和脑血管瘤是中青年脑出血主要病因,临床以颅内高血压、卒中样表现为主要特征,病情与出血量以及出血部位呈正相关,针对年轻人脑出血的主要病因和危险因素,采取针对性的干预措施,可以降低发病率及死亡率,提高临床疗效。
Objective To investigate the clinical diagnosis and treatment of middle-aged and young cerebral hemorrhage and summarize its experience. Methods Retrospective analysis of 39 cases of young patients with cerebral hemorrhage clinical data. Results In the group of 39 patients with cerebral hemorrhage, 11 patients (28.21%) basically recovered without obvious sequelae, 24 patients (61.54%) had different limb dysfunction, and 4 patients (10.26%) had cerebral hemorrhage after 6 h The progressive increase in the disease, there hernia, respiratory failure caused by death. Conclusions Hypertension, cerebrovascular malformations and cerebrovascular hemangiomas are the main causes of cerebral hemorrhage in middle-aged and young people. Clinical manifestations of intracranial hypertension and stroke are the main features. The disease is positively correlated with the amount of bleeding and the bleeding site. Etiology and risk factors, to take targeted interventions, can reduce morbidity and mortality, improve clinical efficacy.