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老年人慢性硬膜下血肿常无明确的头部外伤史,临床高颅压症状不典型,给诊断带来一定困难。我院1982～1989年收治老年人慢性硬膜下血肿56例,现结合临床特点分析如下. 临床资料本组男48例,女8例,年龄60～88岁。经头部CT确诊44例,脑血管造影及脑超声波检查确诊12例。既往患高血压44例,冠心病21例,脑梗塞14例,脑出血4例,血脂增高及或眼底有动脉硬化征象45例,有嗜酒史35例,近期有头部外伤史11例(19.6％)。本组资料中,以头痛、呕吐为首发症状者11例(19.6％),意识障碍或精神改变23例
Chronic subdural hematoma in the elderly often no clear history of head injury, clinical symptoms of atypical high intracranial pressure, to the diagnosis of certain difficulties. Our hospital from 1982 to 1989 admitted to the elderly with chronic subdural hematoma in 56 cases, are now combined with clinical features as follows.Clinical data The group of 48 males and 8 females, aged 60 to 88 years. 44 cases were diagnosed by head CT, 12 cases were diagnosed by cerebral angiography and brain ultrasonography. Previous hypertension in 44 cases, 21 cases of coronary heart disease, cerebral infarction in 14 cases, 4 cases of cerebral hemorrhage, elevated blood lipids or retinal arteriosclerosis signs in 45 cases, 35 cases of alcohol history, the recent history of head trauma in 11 cases ( 19.6%). The data in this group, headache, vomiting as the first symptom in 11 patients (19.6%), mental retardation or mental change in 23 cases