40例老年人蛛网膜下腔出血临床分析  

Clinical analysis of the elderly subarachnoid hemorrhage in 40 cases

作　　者：马世江[1] 赵家鹏[1] 刘玉青[2] 李素芳[1] 靳玫[1] 

机构地区：[1]新乡医学院第三附属医院神经内科,河南新乡453003 [2]新乡医学院,河南新乡453003

出　　处：《中国医药科学》2013年第3期181-182,共2页China Medicine And Pharmacy

摘　　要：目的总结老年人蛛网膜下腔出血的临床特征及治疗效果,为进一步提高老年人蛛网膜下腔出血的诊治提出建议。方法回顾性分析2005年9月～2012年6月笔者所在医院收治的40例老年人蛛网膜下腔出血者的临床资料,对其病因、临床症状、体征和治疗效果进行分析。结果老年蛛网膜下腔出血表现为意识障碍多见且明显,不典型的脑膜刺激征,并发症多,误诊率高及病死率高,本组40例患者中,治愈20例,进步10例,恶化6例,死亡4例。结论对于蛛网膜下腔出血的诊断应综合临床症状、体征及结合辅助检查共同判断才能提高临床疗效。Objective To summarize the clinical characteristics and therapeutic effect of the elderly subarachnoid hemorrhage, and further to improve the diagnosis and treatment effect for the elderly subarachnoid hemorrhage. Methods The clinical material, the etiology, clinical symptoms, signs and treatment effect were retrospective analyzed for 40 cases the elderly subarachnoid hemorrhage in our hospital from September 2005 to June 2012. Results Elderly subarachnoid hemorrhage had more common and obvious consciousness, and untypical of meningeal irritation, more complications, and had high misdiagnosis rate and mortality. Among 40 cases, 20 cases were cured, 10 cases were progressive, 6 cases were deteriorated,4 cases were died. Conclusion For the diagnosis of subarachnoid hemorrhage, we should comprehensive the clinical symptoms, signs and combine with auxiliary examination common judgment, and can promote the recovery of the patients better.

关 键 词：老年人 蛛网膜下腔出血 临床特点 

分 类 号：R743.3[医药卫生—神经病学与精神病学]