摘要
目的:分析老年人原发性蛛网膜下腔出血(SAH)的临床症状、体征,便于早期诊断、治疗。方法:对2006~2009年本院收治的38例老年人SAH(老年组)和52例中青年组SAH(对照组)的临床表现进行比较。结果:老年人SAH头痛、呕吐发生率低,脑膜刺激征不明显,而意识障碍及精神障碍多见,死亡率高。结论:掌握老年人SAH的临床特点,及早进行腰穿及头CT检查,以免误诊,降低死亡率。
Objective:To analyed the clinical symptoms and signs of primary subarachnoid hemorrhage in the elderly.Methods:To compare the clinical manifestations about 38 cases of elderly SAH(older group) and 52 cases of the young SAH(control group) in our hospital in 2006-2009.Results:It was low incidence of headache and vomiting in the older group,meningeal irritation was not obvious.But the disturbance of consciousness and mental disorders were more common and high mortality.Conclusion:Grasp the clinical features of elderly SAH,early on waist wear and head CT examination,then to avoid misdiagnosis,reduce mortality.
出处
《中国当代医药》
2010年第33期183-184,共2页
China Modern Medicine
关键词
老年人
原发性蛛网膜下腔出血
临床特点
Old man
Primary subarachnoid hemorrhage
Clinical characteristics