目的 :探讨复发性脑出血的发生率、危险因素及预后。方法 :180例首次脑出血病人 ,随访 5年 ,对其临床及实验室资料进行分析。结果 :8例 ( 4 4% )病人随访中脑出血复发 ,其中 7例有高血压 ,且血压控制不良 ,1例无高血压但高龄。 8例脑出血复发病人中 ,4例死亡 ,2例留有重度后遗症 ,2例留有轻度后遗症。结论 :复发性脑出血临床并不少见 ;血压控制不良及脑淀粉样血管病是其发生的危险因素 ;复发性脑出血预后不良 Objective: To investigate the incidence of recurrent cerebral hemorrhage, risk factors and prognosis. Methods: 180 patients with first cerebral hemorrhage were followed up for 5 years, and their clinical and laboratory data were analyzed. Results: Eight patients (44%) had recurrent intracerebral hemorrhage at follow-up. Seven of the patients had hypertension and poor blood pressure control. One patient had no hypertension but was older. Of the 8 patients with recurrent cerebral hemorrhage, 4 died, 2 had severe sequelae and 2 had mild sequelae. Conclusions: Recurrence of intracerebral hemorrhage is not uncommon; blood pressure is poorly controlled and cerebral amyloid angiopathy is a risk factor for its occurrence; prognosis of recurrent intracerebral hemorrhage is poor