论文部分内容阅读
目的：探讨年轻人脑出血的病因及临床特点。方法：分析50例患者的临床病情、CSF、CT、MRI及DSA结果。结果：临床病因：高血压26例，AVM及动脉瘤13例，其它病因11例。出血部位：基底节区14例，SAH13例，脑叶9例，脑干6例。丘脑2例，其它部位6例。预后：多数患者瘫痪恢复较快，死亡8例。结论：年轻人脑出血常见原因为高血压、AVM和动脉瘤，CT是首选的诊断性检查，DSA对明确病因有重要价值。
Objective: To investigate the etiology and clinical features of young cerebral hemorrhage. Methods: Clinical data, CSF, CT, MRI and DSA findings of 50 patients were analyzed. Results: Clinical etiology: hypertension in 26 cases, AVM and aneurysm in 13 cases, other causes in 11 cases. Bleeding site: 14 cases of basal ganglia, SAH 13 cases, 9 cases of brain lobe, 6 cases of brain stem. 2 cases of thalamus, 6 cases of other parts. Prognosis: Most patients recovered quickly paralyzed, died in 8 cases. Conclusion: The common causes of cerebral hemorrhage in young people are hypertension, AVM and aneurysm. CT is the first choice of diagnostic test. DSA is of great value to definite cause.