【摘要】 目的 探讨脑叶出血的病因、临床特点。方法 借助影像学检查，对78例脑叶出血进行确诊并对病因、临床特点和治疗结果进行分类总结。结果 63例无高血压病史，所占比例较大，影像学检查示脑叶出血分大面积出血和斑点样出血两类，出血部位以额顶叶最多见，手术治疗效果好。结论 脑叶出血和非高血压因素关系密切，特别是淀粉样脑血管病(CAA)；临床特点复杂多样；手术治疗可降低致残率和死亡率。

    【关键词】 脑叶出血； 淀粉样脑血管病； 影像学

    The clinical analysis of cerebral lobar hemorrhage for 78 patients

    BI Guang-hui，QU Xing-hua，CUI Su-mei.

    Department of Neurosurgery，Dongying People’s Hospital，Shandong 257091，China

    【Abstract】 Objective To explore the etiopathogenesis and clinical features of cerebral lobar hemorrhage.Methods With image examination 78 patients were diagnosed.The etiopathogenesis，clinical features and therapeutical results were retrospectively classified and summarized.Results 63 patients had no hypertension history.The proportion was high.The image showed that cerebral lobe hemorrhage was classified as great area hemorrhage and spot hemorrhage.The hemorrhage more lie in frontal lobe and parital lobe.Operative treatment was more effective.Conclusion Cerebral lobe hemorrhage was highly relative with nonhypertensive factors ......