- 期刊
江蘇省地區腦出血270例病因回顧性分析
The Causes of 270 Cases of Intracerebral Hemorrhage in Jiangsu Region: A Retrospective Analysis
摘要
腦出血(intracerebral hemorrhage, ICH)是指原發性、非外傷性腦實質內出血，腦出血發病約占所有腦卒中病人的10%~20%。腦出血的最常見的病因爲高血壓。住院病死率可達50%~60%，且大部分倖存者存在不同程度的神經功能障礙。腦出血是急性腦血管病死亡率最高的疾病。其年發病率爲81/10萬，患病率爲112/10萬，是發病率、致殘率和死亡率都很高的一種常見病。 目前西醫認爲引起腦出血的病因可分爲兩大類，一類是與高血壓相關的腦出血，和非高血壓所致的腦出血。高血壓病是腦出血最常見、最重要的原因。腦出血病人患有高血壓者約占50%~60%。其中以高血壓合併動脈硬化最爲常見。非高血壓性腦出血，可見於腦血管畸形、腦動脈澱粉樣變性、腦瘤卒中、血液病、腦外傷等。 腦出血在中醫學中屬於中風範疇。出血性中風是中醫學中中風病的延伸。各醫家對於出血性中風的病因病機的認識，散見在中風、眩暈、厥證、頭痛、風痱等疾病論述中。 本研究是通過對出血性中風的臨床資料的收集，整理發病時間、病因、相關疾病，並通過實驗室檢查從血脂、凝血等幾方面及CT提示出血部位及腦水腫等幾個方面進行對比分析。統計分析出血性中風臨床病因及危險因素的特點，這將有助於更好的預防及控制其出血性中風的發生。
並列摘要
Intracerebral Hemorrhage (ICH) is a primary, non-traumatic internal hemorrhage. It takes 10% to 20% of stroke patients. The most common cause of ICH is high blood pressure. The mortality rate can reach 50% to 60%, and survivors often left with different degrees of motor impairment. ICH has the highest morality in acute cerebral diseases. Its morbidity is 81 in one hundred thousand, and prevalence is 112 in one hundred thousand. It is a common disease with high morbidity, disability and mortality. Modern medicine categorized ICH into two: one is ICH associated with high blood pressure, and the other is ICH not associated with high blood pressure. High blood pressure is the most common cause of ICH, and it often takes 50% to 60% of the cause of ICH. The most common cause is the combination of high blood pressure with arterial sclerosis. Non-high-blood-pressure ICH can be seen in deformity of cerebral vessels, cerebral artery amyloidosis, brain tumor, blood diseases and traumatic brain injury. ICH belongs to ”Stroke” in TCM. Stroke due to hemorrhage is the extension of ”Stroke” in TCM. The etiology and mechanism can be seen in different syndromes such as ”stroke”, ”dizziness”, ”Jue syndrome”, ”headache”, and ”Wind Fei”. This research provides analysis in the location of hemorrhage and cerebral edema through the collection of clinical data, onset, etiology, blood cholesterol, coagulation and CT of ICH stroke. The statistics show the characteristics of the etiology and risk factors of hemorrhage stroke, and the results can be beneficial to better prevention and control of ICH.