老年人蛛网膜下腔出血临床分析  

A clinical analysis of subarachnoid hemorrhage in elderly patients

作　　者：冼明健[1] 江先娣[1] 杨职[1] 袁莉[1] 蓝崧[1] 方玲[1] 

机构地区：[1]广东省茂名市人民医院脑系内科,525000

出　　处：《实用心脑肺血管病杂志》2005年第4期208-210,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨老年人蛛网膜下腔出血(SAH)的临床特点。方法回顾分析1996年1月至2004年12月收治60岁以上原发性蛛网膜下腔出血108例病人的临床资料,并与同期收治的60岁以下的原发性蛛网膜下腔出血的160例病人进行对比研究。结果老年SAH病因以高血压脑动脉硬化为主,头痛、呕吐及脑膜刺激征发生率较低,而意识障碍多见,出现局灶损害症状亦较为常见,病死率较高。结论对老年不典型病例应高度重视,及时腰穿检查及颅脑CT检查,以免误诊,延误治疗。Objective To investigate the clinical features of subarachnoid hemorrhage （SAH） in the elderly patients. Methods Hospitalized datas of 108 elderly patients with SAH, from January 1996 to December 2004,were analyzed in retrospect,and as compared with 160 cases of SAH whose age was under 60 years old. Results Hypertension and cerebral arteriosclerosis were the main causes of SAH in the elderly patients. The frequency of headache, vomit and the sign of meningeal irritation was not common, but disturbance of consciousness and focal symptom of brain were more common,and the mortality was higher,too. Conclusion The symptoms of SAH often are non-typical in the elderly patients,so the physicians should pay attention to them,to examine the lumbar puncture and brain CT scanning etc,in time to keepout of misdiagnosis and delay in treatment.

关 键 词：老年人 蛛网膜下腔出血 临床分析 治疗 诊断 

分 类 号：R743.35[医药卫生—神经病学与精神病学]