摘要： 回顾分析近5 年不同性别青年脑出血患者临床资料，男性60 例、女性28 例，男女比例约为2.14∶1。诸多危险因素中，男性吸烟（35%对0，P = 0.000）、饮酒（28.33%对0，P = 0.002）比例高于女性，女性高脂血症比例高于男性（10.71%对0，P = 0.030）。男性脑出血病因以高血压居多（40%对14.29%，P = 0.016）、女性以脑血管畸形为主（50%对23.33%，P = 0.012），男性脑出血好发部位主要位于基底节（35%对14.29%，P = 0.045）、女性以脑叶为主（67.86%对40%，P = 0.015）。提示不同性别青年脑出血在危险因素、出血部位、病因方面均存在差异。

关键词: 脑出血, 性别因素

Abstract: The study retrospectively analyzed the clinical data of young people of different genders with intracerebral hemorrhage (ICH) in recent 5 years. There were 60 male and 28 female patients, and the ratio of men to women was 2.14∶1. During lots of risk factors for ICH, men had more smoking (35% vs 0, P = 0.000) and drinking history (28.33% vs 0, P = 0.002) than women, while women had more hyperlipidemia than men (10.71% vs 0, P = 0.030). For cerebral hemorrhage etiology, male patients who got ICH because of hypertension were more than female patients (40% vs 14.29%, P = 0.016), while female patients who got ICH due to cerebrovascular malformation were more than male patients (50% vs 23.33%, P = 0.012). The bleeding locations of men were mostly located in the basal ganglia (35% vs 14.29%, P = 0.045), while the bleeding locations of women were mostly located in the cerebral lobe (67.86% vs 40%, P = 0.015). The results suggested that there were gender difference in etiology, bleeding locations, and risk factors for ICH in young people.

Key words: Cerebral hemorrhage, Sex factors