[摘要]目的探讨再发脑出血的临床表现及危险因素。方法分析经CT证实的117例再发脑出血患者的临床表现、可能的危险因素。结果再发脑出血占同期脑出血的13.3%，高血压患者再发出血者的71.8%，平均出血年龄67.2岁，主要出血部位为基底节区(49.6%)及脑叶出血(21.4%)，绝大多数(88.9%)出血部位均与首次不同。高血压控制不良及血管淀粉样变性(CAA)是再发脑出血的主要危险因素。结论再发脑出血的机制是多方面的。首次出血后血压的控制可以防止多数再出血的发生。

    关键词：脑出血 复发 高血压 危险因素 淀粉样变性

    [Abstract]Objective To investigate the clinical manifestation and risk factor of recurrent intracerebral hemorrhage (ICH). MethodsClinical manifestation and possible risk factors of 117 recurrent ICH patients confirmed by CT scan were analyzed. ResultsRecurrent ICH patients was 13.3% of contemporary ICH patients. Hypertensive patients was 71.8% of recurrent ICH patients. The average age of the patients was 67.2%. Hematoma mainly lay in basal ganglia (49.6%) and lobar (21.4%). Majority of the sites of the patients (88.9%) were different from primary sites. Poorly controlled hypertention and CAA were two main risk factors of recurrent ICH patients. ConclusionThe mechanism of recurrent ICH was multiple. Well controlled blood pressure after the first hemorrhage can prevent recurrences of most ICH patients. ......