《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (11): 1075-1076.

• 论文 • 上一篇    下一篇

老年人蛛网膜下腔出血临床分析

胡伟1，陈云2

  

  1. 1.湖北医药学院附属太和医院神经内科，湖北十堰市 442000；2.湖北省新华医院神经内科，湖北武汉市 430015
  • 收稿日期:2010-08-20 修回日期:1900-01-01 出版日期:2010-11-25 发布日期:2010-11-25

Clinical Features of Elderly Subarachnoid Hemorrhage: 132 Cases Report

HU Wei, CHEN Yun

  

  1. Department of Neurology, Taihe Hospital of Hubei University of Medicine, Shiyan 442000, Hubei,China
  • Received:2010-08-20 Revised:1900-01-01 Published:2010-11-25 Online:2010-11-25

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摘要： 目的总结老年人蛛网膜下腔出血(SAH)的临床特征、并发症和预后。方法回顾性分析132例老年人SAH的临床资料。结果56.8%患者以头痛为主要症状，43.2%出现头晕或眩晕，40.1%出现意识障碍，脑膜刺激征阴性比例为70.5%。病因以动脉瘤最常见。伴高血压者死亡率高。结论老年人SAH临床表现多样化，体征不明显，半数预后好，但死亡率高。

关键词: 蛛网膜下腔出血, 老年人, 临床表现

Abstract: ObjectiveTo observe the clinical features, complications, and prognosis of subarachnoid hemorrhage (SAH) in the aged. Methods132 old cases were analyzed retrospectively. Results56.8% of patients complained headache as the main symptoms, 43.2% with dizziness or vertigo, 40.1% with disturbance of consciousness, 70.5% with negative of meningeal irritation sign. The most common cause is the aneurysm. The mortality was more in those complicated with hypertension. ConclusionSAH in the old characterized variable clinical manifestations, no special signs, half of them with good prognosis.

Key words: subarachnoid hemorrhage, elderly, clinical features