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目的探讨老年人蛛网膜下腔出血的病因、诱因及临床特点。方法对58例老年人蛛网膜下腔出血患者进行回顾性分析。结果本组58例老年人蛛网膜下腔出血患者中,内科治疗32例,痊愈25例,好转7例;外科手术治疗26例,痊愈20例,好转4例,死亡2例。结论老年人蛛网膜下腔出血诱因和临床表现不典型,故对以意识障碍、精神异常或癫痫等为主要表现的老年患者应及时行头颅CT等检查,对头颅CT阴性的应在条件允许的情况下行腰穿检查,有条件者可行数字减影血管造影术(DSA)以便病因治疗。
Objective To investigate the causes, causes and clinical features of subarachnoid hemorrhage in the elderly. Methods 58 cases of elderly patients with subarachnoid hemorrhage were retrospectively analyzed. Results In the group of 58 elderly patients with subarachnoid hemorrhage, 32 cases were treated by internal medicine, 25 cases recovered and 7 cases improved. 26 cases were cured by surgery, 20 cases recovered, 4 cases improved and 2 died. Conclusion The causes and clinical manifestations of subarachnoid hemorrhage in elderly patients are not typical. Therefore, elderly patients who are mainly characterized by disturbance of consciousness, mental disorders or epilepsy should be examined by skull CT in a timely manner and negative for skull CT should be allowed under conditions Circumstances underwent lumbar puncture, conditional digital subtraction angiography (DSA) for etiological treatment.