Retrospective study of 70 cases of SICH under the age of 45

SHEN Song

doi:10.13406/j.cnki.cyxb.2007.07.024

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Retrospective study of 70 cases of SICH under the age of 45

更新时间：2024-01-17

- Retrospective study of 70 cases of SICH under the age of 45
- Journal of Chongqing Medical University Issue 7, Pages: 774-775(2007)
- 作者机构：
  
  1. 重庆西南铝医院神经内科
  2. 北京友谊医院神经内科
  3. 重庆医科大学附属第一医院神经内科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2007.07.024
  CLC： R743.3
- Published：2007，
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[1]慎松,张拥波,李光勤.70例45岁以下自发性脑出血患者的回顾性分析[J].重庆医科大学学报,2007(07):774-775.

SHEN Song. Retrospective study of 70 cases of SICH under the age of 45. [J]. Journal of Chongqing Medical University (7):774-775(2007)
[1]慎松,张拥波,李光勤.70例45岁以下自发性脑出血患者的回顾性分析[J].重庆医科大学学报,2007(07):774-775. DOI： 10.13406/j.cnki.cyxb.2007.07.024.

SHEN Song. Retrospective study of 70 cases of SICH under the age of 45. [J]. Journal of Chongqing Medical University (7):774-775(2007) DOI： 10.13406/j.cnki.cyxb.2007.07.024.

摘要

目的:探讨45岁以下自发性脑出血（SICH）病人的危险因素、临床及生化特点。方法:回顾性分析70例SICH患者的危险因素及临床表现。结果:危险因素:高血压28例（40%）

经常吸烟19例（27%）

长期饮酒14例（20%）。出血部位:基底节区36例（51%

左侧19例、右侧17例）

脑叶19例（27%）

脑干7例（10%）

脑室3例（4%）

小脑1例（1%）

多灶4例（6%）

破入脑室10例（14%）。57例（81%）预后良好

死亡8例。30例中有7例（23%）TC≤4.128mmol/L。血WBC≥10×10

/L者平均住院日较WBC

10×10

/L者明显延长。12例（17%）WBC

20×10

/L者预后差。结论:45岁以下人群脑出血的危险因素主要与高血压、吸烟和长期饮酒有关;出血部位以基底节区多见。TC降低可能与年轻人脑出血有关。血WBC计数对预后评价有帮助。

Abstract

Objective:To study the risk factors and the clinical and biochemical features of the patients under the age of 45 suffering from spontaneous intracerebral hemorrhage(SICH).Methods:The risk factors and clinical manifestation of 70 cases of SICH were studied retrospectively.Results:The risk factors included hypertension(28cases

40%)

regular smoking(19cases

27%)

long-term alcohol drinking(14cases

20%).The bleeding location was basal ganglia area(36cases

51%

19 cases on left side and 17cases on right side)

lobar(19cases

27%)

brain stem(7cases

10%)

ventricles(3cases

4%)

cerebellum(1case

1%)

multi-foci(4cases

6%).There were 10 cases bleeding into ventricles(14%).57cases(81%)had good pronosis

8 cases died.There were 7 cases(among 30cases)who the TC level were less than 4.128mmol/L.The average hospitalization days of those with WBC≥10×10~9/L were longer than that with WBC<10×10~9/L.12 cases(17%)with WBC>20×10~9/L had poor prognosis.Con- clusion:Risk factors of patients of SICH under the age of 45 are hypertension

smoking and long-term alcohol drinking.Basal ganglion is the most common bleeding location.Low TC level lends to may be a risk factor of young patients.WBC counting can help evaluate the prognosis.

关键词

自发性脑出血危险因素WBC

Keywords

SICHrisk factorsWBC

references

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