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我院自1990年～1992年,住院的60岁以上老年人高血压105例,占高血压住院病人41.5％,现将其临床特点及并发症分析如下,供同道参考。 1 临床资料 性别,男性82例,女性23例。年龄,60～69岁76例,70～79岁23例,80岁以上6例。主诉:头痛、头晕、70例,占66.7％;心悸、胸闷26例占24.1％;其它9例占8.6％。伴有恶心呕吐15例,肢体麻木10例,晕厥8例,偏瘫5例。就诊时血压增高符合高血压标准者97例,占92.4％,就诊时血压正常者8例,占7.6％。既往有高血压史30年以上者12例,占11.4％,21～29年者30例,占28.6％,11～20年者26例占24.8％,10年以下者20例占19％,时间不明者10例占9.5％,否认高血压史者7例占6.7％,既往有中风史者4例,占3.8％。
Our hospital from 1990 to 1992, hospitalized over the age of 60 elderly hypertensive 105 cases, accounting for 41.5% of hypertensive inpatients, now its clinical features and complications are as follows, for fellow reference. 1 clinical data of gender, 82 males and 23 females. Age, 76 cases of 60 to 69 years, 23 cases of 70 to 79 years old, 6 cases over 80 years old. The main complaint: headache, dizziness, 70 cases, accounting for 66.7%; heart palpitations, chest tightness, 26 cases accounted for 24.1%; the other 9 cases accounted for 8.6%. Accompanied by nausea and vomiting in 15 cases, limb numbness in 10 cases, syncope in 8 cases, hemiplegia in 5 cases. At the time of visit, blood pressure increased in line with the standard of hypertension in 97 cases, accounting for 92.4%, 8 cases of normal blood pressure at treatment, accounting for 7.6%. In the past, there were 12 cases with history of hypertension over 11 years, accounting for 11.4%, 30 cases from 21 to 29 years (28.6%), 26.8% (from 11 to 20 years), 20 cases (19%) after 10 years 10 cases of unknown accounted for 9.5%, 7 cases denied history of hypertension accounted for 6.7%, previous history of stroke in 4 cases, accounting for 3.8%.