230例老年人出血性卒中的临床、CT与预后分析  

Analysis of Clinical Picture,CT and Prognosis of 230 Aged Patients with Haemorrhagic Stroke

作　　者：单益民[1] 曾春[1] 

机构地区：[1]南昌市第一医院神经内科,江西南昌330008

出　　处：《现代诊断与治疗》2001年第B12期7-9,共3页Modern Diagnosis and Treatment

摘　　要：目的　探讨老年人与非老年人出血性卒中的异同及其相互关系。方法　按照 1996年第三次全国脑血管疾病分类方法 ,经CT证实为出血性卒中的 2 30例老年人和 10 0例非老年人的临床、CT和预后分析比较。结果　高血压是老年人和非老年人发生出血性卒中的共同病因 ,在老年人中尤为突出。特别是收缩压和舒张压均增高者 ,发生出血性卒中的机会更多。老年组颅高压较非老年组明显低 (P <0 .0 1) ,破入脑室的较未入脑室的预后差 ,老年组出血量大于非老年组 ,而且死亡率高 ,有非常显著性差异 (P <0 .0 1)。结论　从中青年起就要抓高血压的防治 ,以减少出血性卒中的发生。Objective To inquire into similarities,dissimilarities and relationship between aged and non-aged patients with haemorrhagic stroke.Method According to Classification Method of The Third Cerebrovascular Disease in 1996,the clinical picture,CT and prognosis of 230 aged and 100 non-aged patients with haemorrhagic stroke diagnosed by CT were analysed.Results Hypertension is a common cause of haemorrhagic stroke in both groups,specially in thd aged group.When distolic pressure and systolic pressure were high,haemorrhagic stroke took place much more.The intracranial hypertension in aged group was lower than that in non-aged group( P <0.01).The prognosis of patients whose blook broke into ventricles of the brain was worse than that of patients whose blood didnt break into ventricles of the brain.The blood quantity of aged group was more than that of non-aged group,and its mortality is higher( P <0.01).Conclusions It is necessrary to prevent and treat hypertension from young,middle age,so as to reduce occurrence of haemmorrhagic stroke.

关 键 词：老年人 高血压脑出血 临床 CT 预后 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R743.2[医药卫生—临床医学]