老年人小脑出血27例临床分析  

Clinical analysis on 27 cases of cerebellar hemorrhage in the elderly

作　　者：徐钧陶[1] 张永葆[1] 马慧[1] 徐劲[1] 

机构地区：[1]巢湖市第一人民医院神经内科,安徽巢湖238000

出　　处：《皖南医学院学报》2005年第4期287-289,共3页Journal of Wannan Medical College

摘　　要：目的对老年小脑出血患者的临床及CT特点进行分析,以便更好地进行早期诊断和治疗,提高该病的治愈率。方法分析27例老年小脑出血患者的临床特点、出血部位、病因、治疗方法及预后。结果老年组以呕吐、眩晕多见,非老年组以头痛起病多见,老年组中有20例发病时血压明显升高,并伴有明显的水电解质紊乱、肾功能异常、心电图异常及肺部感染等并发症。结论老年小脑出血患者临床表现为多种多样,高血压、脑动脉硬化是小脑出血的主要病因,确诊应行头颅CT或MRI。Objective To study the clinical manifestation and CT features of cerebellar hemorrhage in the elderly patients in order to make early diagnosis and treatment. Methods The clinical manifestation, CT scanning, sites and causes of hemorrhage, as well as the treatment and the prognosis of 27 elderly patients with cerebellar hemorrhage were analysed, Results The common presenting symptoms in the senile group were vomiting and vertigo, while there were headache and vomiting in the non-senile group, Blood pressure was markedly higher in 20 cases in the elderly patients, There were also more cases with water and electrolyte disturbance, renal function insufficiency, electrocardiogram abnormality and pulmonary infection, Conclusion The clinical manifestation of cerebellum hemorrhage are not typical in the elderly, Hypertension and arteriosclerosis are the main etiology of this disease. The CT or MRI scan is helpful for early detection.

关 键 词：脑出血 小脑 老年人 

分 类 号：R743.34[医药卫生—神经病学与精神病学]