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年轻人自发性脑内出血:一个机构注册分析

Girish Menon¹, Aparna Macharla¹, Siddharth Srinivasan¹

¹Department of Neurosurgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Annals of Indian Academy of Neurology

|November 16, 2023

概括

年轻人的自发性脑内出血 (SICH) 正在增加,特别是在亚洲. 高血压是主要可修改的危险因素,突出显示了这一群体早期检测和管理的必要性.

科学领域:

神经学神经学
公共卫生公共卫生
流行病学流行病学

背景情况:

自发性脑内出血 (SICH) 通常影响老年人,但年轻人群中的发病率在全球范围内增加,特别是在印度和亚洲.
高血压是年轻SICH患者的一个关键问题,促使对预测性风险因素的调查.

研究的目的:

分析50岁以下患者SICH的特征和结果.
在年轻的高血压患者中确定SICH风险和不良结果的预测因素.

主要方法:

50岁以下的SICH患者的六年回顾性审查.
排除由于二次原因导致的SICH病例 (瘤,创伤等). ) 的情况.
90天后的结果评估,使用修改后的兰金度量表 (mRS).

主要成果:

在年轻人中,SICH占所有脑内出血 (ICH) 病例的28.4%.
平均年龄为42.9岁,78.5%是男性. 高血压 (HTN) 在51.2%的患者中存在,而左心室缩 (LVH) 在68.9%的患者中存在.
基底质出血是最常见的 (62.2%). 90天后,58.1%的患者有良好的结果,41.9%的患者有不良结果,死亡率为21.8%. 较差的格拉斯哥昏迷评分 (GCS),较大的出血量和高肌素预测了较差的结果.

结论:

年轻成年人中SICH的发病率很高,接近ICH入院的30%.
在这个群体中存在很高的不良结果和死亡率.
高血压 (HTN) 被确定为年轻成年人中SICH最重要的可修改风险因素.

关键词:

血流性中风血流性中风在ICH中取得的结果.年轻的ICHICH年轻人

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