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我院自1982年1月～1994年12月共收治蛛网膜下腔出血(SAH)221例,其中60岁以上82例,占37.1%.本文以青、中年SAH的临床资料作对照,就老年人SAH特点,作临床分析.1 临床资料1.1 一般资料 青、中年组139例,男94例,女45例.有诱因者124例,占89.3%.老年组82例,男49例,女 33例.年龄 60～77岁,平均69岁.其中60～69岁64例,70岁以上18例.有发病诱因者38例,占46.0%.其中看电视6例,用力活动12例,情绪激动9例,饮酒后4例,排便4例,开会发言1例,打麻将2例.其他无明显诱因44例,占54.0%.1.2 症状与体征 青、中年组:头痛132例,呕吐107例,意识障碍31例,抽搐7例,瘫痪6例.老年组:①头痛64例,其中70岁以上18例,仅有7例头痛,年龄越大,头痛越不明显.②呕吐43例,其中70岁以上18例中仅有4例.③意识障碍76例,70岁以上的18例均有不同程度意识障碍.④抽搐12例.⑤有精神症状4例.⑥血压增高68例.⑦有脑膜刺激征61例.⑧瘫痪19例,其瘫痪持续时间不长,一般随着病情的恢复而消失.
Our hospital from January 1982 to December 1994 were treated 221 cases of subarachnoid hemorrhage (SAH), of which 82 were over the age of 60, accounting for 37.1% .In this paper, the clinical data of young and middle-aged SAH as a control, on Clinical characteristics of elderly patients with SAH.1 Clinical data 1.1 General information Youth, middle-aged group of 139 cases, 94 males and 45 females.Results 124 cases, accounting for 89.3% .Old group of 82 patients, 49 males, Female 33 cases, aged 60 to 77 years, mean 69 years old, of which 64 cases of 60 to 69 years old, 18 cases over the age of 18. There are 38 cases of inducing pathogens, accounting for 46.0% of which 6 cases of television, 12 cases of forced activity, Emotional agitation in 9 cases, 4 cases after drinking, defecation in 4 cases, a meeting to speak in 1 case, playing mahjong in 2 cases.Other no obvious incentive in 44 cases, accounting for 54.0% .1.2 Symptoms and signs of youth, middle age group: headache in 132 cases, vomiting 107 cases, 31 cases of disturbance of consciousness, convulsions in 7 cases, paralysis in 6. Elderly group: ① headache in 64 cases, of which 18 cases over 70 cases, only 7 cases of headache, older, less obvious headache.② Vomiting 43 cases , Of which only 4 cases of 18 cases over the age of 70. ③ 76 cases of disturbance of consciousness, 18 cases over the age of 70 have varying degrees of disturbance of consciousness.④ convulsions in 12 cases.⑤ psychiatric symptoms in 4 cases.⑥High blood pressure in 68 cases. ⑦ have meningeal irritation in 61 cases.⑧ paralysis in 19 cases, Its duration of paralysis is not long, generally disappear with the recovery of the disease.