摘要
目的探讨老年人脑肿瘤的临床特点,以期提高对老年脑肿瘤患者的临床救治质量。方法回顾性分析经 CT、MRA 或病理证实的老年颅内肿瘤患者163例的临床资料。结果肿瘤位于幕上121例,以脑膜瘤(68例)、胶质瘤(43例)常见;129例并存其他疾病;手术后症状消失或明显改善126例,轻度改善19例,无改善6例。术岳1个月内死亡12例(其中住院期间死亡10例,出院后死亡2例),手术死亡率6.1%,其中>75岁者9例。结论认识老年脑肿瘤患者起病和病程的不典型性,对于防止临床误诊、误治有重要意义;围手术期的处理对其预后至关重要,手术治疗及临床用药应个体化。
Objective To study the clinical features and to improve the treatment on the elderly patients with brain tumor. Methods Retrospective analysis of 163 cases with brain tumor which had been confirmed by CT,MRA or pathology. Results Of all the 163 cases,121 were located in supratentorium, most of which were meningiomas and gliomas. Most patients （129 cases） had comorbidity. After operation , symptoms disappeared or obviously improved in 126 cases, moderately improved in 19 cases, and did not changed in 6 patients. Twelve cases died after operation in a month, in which 9 patients were over 75 years old. The death rate of operation was 6.1%. Conclusions It is important to know the atypical manifestation of brain tumor in the elderly, which may prevent clinical misdiagnosis and mistherapy. The perioperative management is indispensable to the prognosis of the patients. The choice of operation and medication should be in individualized.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2006年第3期186-188,共3页
Chinese Journal of Geriatrics
关键词
脑肿瘤
围手术期医护
Brain neoplasms
Perioperative care
