32例长寿老人临床病理资料分析  

A clinicopathological study of 32 long-lived suhjects

作　　者：汪耀[1] 陈曼丽[1] 王家惠[1] 钱贻简[1] 

机构地区：[1]北京医院

出　　处：《中华老年医学杂志》1995年第4期231-233,共3页Chinese Journal of Geriatrics

摘　　要：分析９０～１００岁长寿老人３２例的尸检资料，经病理证实临终前患肺炎者２２例，其中４例生前未诊断。３２例在生前均诊断为冠心病，经病理检查证实仅１９例患冠心病，诊断正确率为５９．４％。经病理证实患恶性肿瘤者１９例，１０例经手术治疗，术后存活半年至２２年。表明长寿老人临终前肺炎患病率高；冠心病的临床诊断正确率不够高，与诊断标准掌握不严格有关；长寿老人患恶性肿瘤者不少见，早期手术存活时间较长，对高龄老人不要轻易放弃手术机会，手术治疗者仍可能达到长寿。本组３２例中血脂正常者占７１．９％，但血脂水平高低与冠状动脉病变程度不完全一致。Abstract Thirty two cases of long-lived subjects aged 90-100 years admitted into our hospital from 1963 to 1992 were studied clinicopathologically.Autopsy revealed that 22 of the 32 cases had pneumonia in their terminal state,indicating high incidence of pneumonia in the long-lived. However,pneumonia was not diagnosed ante-mortem in 4 of them.All the 32 cases were diagnosed as coronary heart disease(CHD) clinically,but pathologically it was confirmed in 19 casesonly with a rate of accurate diagnosis of 59.4%.This is due probably to that the criteria for diagnosing CHD which we are using clinically is not too strict.19 of the 32 cases had pathologically proved malignancy either ante-or post mortem;the malignant tumour was resected 11 times in 10 cases with a mean survival time of 12.0 years(0.5-22 years).Lipid profile was normal in 23 of the 32 cases(71.9%),but 13 of the 23 were found to have CHD pathologically.Hence,no definite relationship was seen between the blood lipid level and incidence of CHD in our series.

关 键 词：尸体解剖 冠状动脉硬化 诊断 肿瘤 老年人 

分 类 号：R592[医药卫生—老年医学]