目的：探讨青年脑出血的危险因素及病因。方法回顾分析商丘市第一人民医院2008年1月-2014年1月间青年脑出血的临床资料。结果青年脑出血779例，占11.52%，男性占64.70%，女性占36.30%；发病年龄(35.45±8.35)岁。病因：高血压病495例(63.53%)，血管畸形56例(7.18%)，瘤卒中19例(2.44%)，血液系统疾病18例(2.31%)，妊娠/产褥期27例(3.47%)，烟雾病15例(1.92%)，不明原因147例(18.87%)，系统性红斑狼疮2例(0.26%)。危险因素：高血压541例(69.44%)，吸烟141例(18.10%)，饮酒213例(27.34%)，糖尿病42例(5.39%)，心脑血管病家族史186例(23.88%)，血脂异常119例(15.28%)。结论近年来青年脑出血发病率逐年增多，男性多见；高血压是主要病因，其次是脑血管畸形，部分患者病因不明；高血压病史、吸烟、饮酒、卒中家族史、血脂异常可能与青年脑出血的发病有关。%Objective To explore the causes and the risk factors of young people with intracerebral hemorrhage (ICH). Methods Collect 779 patients with ICH in department of neurology of the NO 1 hospital of Shangqiu during January 2008 to January 2014. Results Young people with ICH accounted for 11.52% of the total ICH in the same period,which accounted for 64.70% of males and 36.30% for females,the mean age is (35.45 ±8.35)years.The cause of all 779 cases,including hypertension in 495 cases (63.53%),vascular malformations in 56 cases(7.18%),18 cases(2.31%)of the blood system diseases,while 19 cases(2.44%)of tumor apoplexy,27 cases(3.47%)of pregnancy or in the puerperium,15 cases(1.92%)of moyamoya disease,147cases (18.87%) can't find the cause,and 2 cases(0.26%) of SLE.The risk factors:hypertension were 541 cases(69.44%),smoking were 141 cases (18.10%), alcohol consumption were 213 cases (27.34%),family history of cerebrovascular disease were 186 cases (23.88%),lipid disorder were 119 cases (15.28%). Conclusion In the recent six years,the number of young people with ICH were increased year by year and chiefly in males.The causes were diversity, the main reason were hypertension and the second were Vascular malformation. There were still a number of cryptogenic ICH;History of hypertension,smoking,alcohol consumption,family history of stroke and lipid disorder may be associated with ICH in young people.
展开▼
