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目的探讨老年脑出血的临床特点。方法对1997～1998年收治的70岁以上的脑出血患者39例并与当年的50～60岁的脑出血患者55例进行对照分析。结果70岁以上的脑出血病例组中高血压、头痛、呕吐及意识障碍等表现低于对照组,安静状态下发病的病例多于对照组,死亡率高,死亡原因以多脏器功能哀竭为主。结论70岁以上患者发生脑血管病,治疗抢救时除常规脱水止血治疗外,防止并发症是降低死亡率的主要环节。
Objective To explore the clinical features of cerebral hemorrhage in the elderly. Methods Thirty-nine patients with cerebral hemorrhage over 70 years old from 1997 to 1998 were compared with 55 cases of cerebral hemorrhage from 50 to 60 years old. Results The results of hypertension, headache, vomiting and disturbance of consciousness in the group of cerebral hemorrhage over 70 years old were lower than those in the control group. There were more cases of morbidity than the control group in the group of cerebral hemorrhage over 70 years old, the mortality rate was high, the cause of death was multiple organ dysfunction the Lord. Conclusions Cerebrovascular disease occurs in patients over 70 years of age. In addition to conventional dehydration and hemostasis treatment, the prevention of complications is the main factor in reducing mortality.