目的:探讨急性多灶性脑出血的临床特点。方法:对本院收治的68例急性多灶性脑出血患者的临床资料进行回顾性分析,分析其发病原因、临床表现、CT特点,总结其临床特点。结果:68例患者,由高血压动脉硬化引起者31例,占45.59%;由脑淀粉样血管病变引起者14例,占20.59%;由动静脉畸形引起者9例,占13.24%;由血液病引起者5例,占7.25%;由溶栓抗凝治疗引起者5例,占7.25%;由肿瘤引起者4例,占5.88%。临床表现为不同程度的意识障碍和肢体活动障碍。CT检查可见多处大小不等的出血灶。结论:引起急性多灶性脑出血的主要病因有高血压动脉硬化、脑淀粉样血管病变、动静脉畸形、血液病、溶栓抗凝治疗、肿瘤等,可由情绪激动和血压波动诱发,其临床表现与脑出血部位及出血量有关,CT检查可见出血的部位及大小。急性多灶性脑出血起病急,病情危重,需要临床医师对疾病的临床特点熟练掌握,以及时给予治疗和处理。 Objective: To investigate the clinical features of acute multifocal intracerebral hemorrhage. Methods: The clinical data of 68 patients with acute multifocal intracerebral hemorrhage treated in our hospital were retrospectively analyzed. The causes, clinical features and CT features were analyzed. The clinical features were summarized. Results: Among the 68 patients, 31 cases were caused by hypertension arteriosclerosis, accounting for 45.59%; 14 cases were caused by cerebral amyloid angiopathy, accounting for 20.59%; 9 cases were caused by arteriovenous malformations, accounting for 13.24% 5 cases were caused by disease, accounting for 7.25%; 5 cases were caused by thrombolytic anticoagulation, accounting for 7.25%; 4 cases were caused by tumor, accounting for 5.88%. Clinical manifestations of varying degrees of disturbance of consciousness and physical activity disorders. CT examination showed multiple sizes of hemorrhage. Conclusion: The main causes of acute multifocal intracerebral hemorrhage are arteriosclerosis of hypertension, cerebral amyloid angiopathy, arteriovenous malformations, hematological diseases, anticoagulant therapy of thrombolysis and tumors, which can be induced by emotion and fluctuation of blood pressure. Performance and location of cerebral hemorrhage and bleeding, CT examination showed bleeding site and size. Acute multifocal intracerebral hemorrhage, acute onset, critically ill, requires clinicians to master the clinical features of the disease, and timely treatment and treatment.