成年人出血性烟雾病25例临床分析

摘要

Objective To study the clinical characteristics of the hemorrhagic moyamoya disease in adults. Methods 25 adult patients with hemorrhagic moyamoya disease were retrospectively analyzed in terms of age, gen-der, symptom, sign, laboratory examination, imaging examination and therapeutic methods.Results Adults with hemorrhagic moyamoya disease were common among women, with a peak from 40 to 49 years old and a major manifes-tations of cerebral parenchymal hemorrhage combined with cerebroventricular hemorrhage.Cerebral parenchymal hem-orrhage was observed in 19 cases with cerebroventricular hemorrhage in 15 cases.Subarachnoid hemorrhage was ob-served in 6 cases.Simple cerebroventricular hemorrhage was observed in 4 cases.14 cases were treated with surgery, and 11 with expectant treatment.Conclusion Proactive surgical interventions and medicinal treatment can achieve a good therapeutic effect.%目的：对成年人出血性烟雾病的临床特点进行分析和总结。方法回顾性分析25例成年人出血性烟雾病患者的年龄、性别、症状体征、实验室检查、影像学检查及治疗方法。结果成年人出血性烟雾病以女性多见，发病高峰在40～49岁，主要表现为脑实质出血伴脑室出血。本组25例成年人出血性烟雾病中脑实质出血19例，其中伴脑室出血15例；蛛网膜下腔出血6例；单纯脑室出血4例。手术治疗14例，保守治疗11例。结论积极采取外科手术及药物治疗，成年人出血性烟雾病多能取得良好治疗效果。