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分析400例老年人头颅CT扫描结果,就其疾病类型、发病率与临床表现的关系进行探讨。CT扫描结果为:脑萎缩65.5%,脑血管病58.5%,皮层下动脉硬化性脑病(SAE)11.3%,脑肿瘤1.3%,脑内伤、脑炎均为0.8%。临床有症状体征者CT 阳性率为89.1%,无症状体征者CT 阳性率61.1%。症状以脑卒中及智能障碍多见。老年人颅脑疾病的类型、发病率、临床特点均不同于中青年人,且无症状体征的病人占一定比例,故临床应区别和重视。
Analysis of 400 elderly patients with head CT scan results, the type of disease, the incidence and clinical manifestations of the relationship. CT scan results showed 65.5% of cerebral atrophy, 58.5% of cerebrovascular disease, 11.3% of subcortical arteriosclerotic encephalopathy (SAE), 1.3% of brain tumor, and 0.8% of brain injury and encephalitis. The positive rate of CT in clinical symptoms and signs was 89.1%, and the positive rate of CT in asymptomatic signs was 61.1%. Symptoms of stroke and mental retardation more common. Elderly craniocerebral disease types, morbidity, clinical features are different from young people, and asymptomatic patients accounted for a certain percentage, so the clinical distinction and emphasis should be.