Dissertation > Medicine, health > Neurology and psychiatry > Neurology > Cerebrovascular disease > Acute cerebrovascular disease ( stroke) > Cerebral hemorrhage

Analysis of Etiology on Cerebral Hemorrhage in300Cases

Author YangBingJian
Tutor FengJiaChun
School Jilin University
Course Clinical
Keywords cerebral hemorrhage etiology risk factors
CLC R743.34
Type Master's thesis
Year 2013
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Objective:Through the analysis of the etiology on cerebral hemorrhage in this study, we aim to provide the basis and reference for the etiological diagnosis and the prevention of risk factors of cerebral hemorrhage in clinical work.Methods:Continuous collecting300cases of cerebral hemorrhage at October30th2012-January26th2013in Bethune First Hospital of Jilin University, to carry on prospective analysis of the etiology. Recording the clinical data of all cases detaily, including gender, age, blood pressure, past medical history,et al. For non-hypertensive cerebral hemorrhage, we further get the laboratory tests(including blood routine examination, Routine coagulation, blood fat, fasting blood glucose, hepatonephric function et al), imaging examination (including head CT, head MRI, head CTA, head DSA et al), examination of cerebrospinal fluid, bone marrow aspiration, pathological examination of brain tissue in surgical resection, et al, to clear the root cause of the patients with cerebral hemorrhage. Detailed record and observe the etiology of all patients with cerebral hemorrhage, and carry on a prospective analysis of the etiology.Results:1. In the continuous collecting300cases of cerebral hemorrhage,180cases for male,120cases for female, male female ratio was1.5:1. The average age was54.18±13.07years.2. The etiology:229cases of hypertension(76.33%),26cases of aneurysm (8.67%),15cases of cerebral vascular malformations(5.00%),9cases of moyamoya disease(3.00%),4cases of blood system diseases(1.33%),3cases of hepatocirrhosis (1.00%),1cases of antiphospholipid syndrome(0.33%),13cases for unknow reason(4.33%).3. Risk factors:245cases of hypertension(81.67%),112cases of dyslipidemia (37.33%),106cases of a smoking history(35.33%),95cases of a history of alcohol intake(31.67%),54cases of a past history of stroke(18.00%),35cases of diabetes(11.67%),28cases of a history of heart disease(9.33%),28cases of a family history of stroke(9.33%),15cases of oral aspirin recently(5.00%),3cases of pregnancy (1.00%).The conclusions:1. The proportion of male with cerebral hemorrhage was significantly more than female, male female ratio was1.5:1, The average age of onset comparing with previous epidemiological statistics, presented a tendency of younger.2. The etiology of cerebral hemorrhage were hypertension, intracranial aneurysm, cerebral vascular malformations, moyamoya disease, blood system diseases, hepatocirrhosis, et al.3. The risk factors for cerebral hemorrhage:hypertension, dyslipidemia, smoking history, history of alcohol intake, past history of stroke, diabetes, et al. It is worth noting that oral aspirin and pregnancy are potential risk factors in cerebral hemorrhage.

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