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70岁以上老年人急性脑梗塞(ACI)81例临床特点、CT改变及预后对照分析

A Clinical Analysis of ACI (Acute Cerebral Infarction) in Elderly Patients
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摘要 目的:探讨70岁以上老年人ACI的临床特点、CT改变与预后。方法:81例70岁以上经CT证实的ACI与72例70岁以下者比较,对起病状态,起病到就诊时间、临床表现、危险因素、CT改变,预后等资料进行统计分析。结果:本组81例多数起病于安静状态或睡眠中,在超急性期就诊者仅占22.7%。临床表现以肢体无力和头昏头晕最多见,梗塞部位以基底节区和脑叶梗塞最多。结论:≥70岁老人ACI死亡率高,住院时间明显长于<70岁组。 Objectivec:To study the clinical presentations and prognosis of ACI in elderly patients(70 years and over).Methods:The attack features, the time from the occurrence to clinical admission, clinical presentation and effectiveness of treatment were analyzed in elderly patients with ACI. Results:The attack of most patients occurred under sleep and rest conditions. Only 22.7% of ACI patients were hospitalized in ultra-early stage. The major complaint is weakness in limb and dizziness. Conclusion:The mortality of this group was 9.9%,higher than the control group.(P<001) the time they stay in hospieal is much lorger than the control group.
出处 《华西医学》 CAS 1999年第2期199-200,共2页 West China Medical Journal
关键词 老年人 脑梗塞 临床特点 CT 预后 the elderly,cerebral infarction
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  • 1中华神经科学会 中华神经外科学会.各类脑血管病诊断要点[J].中华神经科杂志,1996,6:379-379.
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