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脑出血,常见病因有高血压病、脑动脉硬化、血液病和脑血管畸形等。但是肝炎后肝硬化失代偿期并发脑出血报道较少,易于误诊、漏诊,预后较差。本文报告1993~1998年,我院住院的肝炎后肝硬化失代偿期并发脑出血18例,就有关临床特点、发病机制及预防进行讨论。1 临床资料1．1 一般资料18例均为肝炎后肝硬化失代偿期患者,男性14例,女性4例,年龄38~62岁,平均48.2岁。其中合并肝癌3例,并发上消化道出血2例。1．2 临床特点18例患者均有肝炎后肝硬化病史3~20年。其中6例首次住院,12例再次住院;肝功能child分级都达到C级或C级以上。既往均无高血压病、糖尿病史,平时无反复头
Cerebral hemorrhage, a common cause of hypertension, cerebral arteriosclerosis, blood diseases and cerebral vascular malformations. However, cirrhosis of liver cirrhosis complicated by cerebral hemorrhage less reported, easily misdiagnosed, missed diagnosis, the prognosis is poor. This article reports from 1993 to 1998, our hospital inpatients with cirrhosis of liver cirrhosis complicated by cerebral hemorrhage in 18 cases, the clinical features, pathogenesis and prevention are discussed. 1 Clinical data 1.1 General Information 18 cases of patients with decompensated liver cirrhosis, 14 males and 4 females, aged 38 to 62 years, mean 48.2 years. Including liver cancer in 3 cases, complicated by upper gastrointestinal bleeding in 2 cases. 1.2 Clinical Features 18 patients had a history of cirrhosis of hepatitis 3 to 20 years. Among them, 6 cases were hospitalized for the first time and 12 cases were re-admitted to hospital. The grade of liver function child reached grade C or above. No previous history of hypertension, diabetes history, usually no repetitive head