摘要
目的分析老年人高血压性脑出血临床特点，探讨其外科治疗的预后。方法采用局麻下小骨窗开颅血肿清除术、锥颅血肿碎吸术、钻孔抽血注入尿激醇溶解３种术式治疗老年人高血压性脑出血６４例，并与同期手术的４３例非老年患者进行比较。结果经６个月至６年随访，老年组恢复良好者３７例（５７．８％），死亡１４例（２１．９％）；非老年组分别为２８例（６５．１％）及９例（２０．９％），两组差异无显著性（Ｘ２检验，Ｐ值＞０．０５）。老年组术后并发症发生率为３５．９％，远高于非老年组的１３．９％（Ｘ２检验，Ｐ值＜０．００１）。结论年龄不再是决定手术与否的主要条件，加强并发症的防治有助于提高老年患者手术成功率。
Objective This study was done to analyze the clinical features of hypertensive intracerebral hemorrhage (HIH) in aged patients (>60 years) and to explore their prognosis with surgical treatment. Methods Sixty-four aged patients with HIH were treated surgically and the results compared with 43 HIH patients aged 59 years or younger. Results A follow-up study of more than six months showed that the functional recovery and mortality rates in the aged patients were 57.8% and 21.9% and those in the control group were 65.1% and 20.9%. There was no significant difference (P>0.05) . However, the incidence of complications in the aged group was significantly higher than that in the younger group (P<O.01). Conclusions Those results indicate that surgical treatment for HIH in aged patients is safe and effective as well.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
1996年第2期108-110,共3页
Chinese Journal of Geriatrics
