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目的研究分析老年人原发性蛛网膜下腔出血(SAH)继发脑梗死的临床特点及脑血管痉挛的关系与易患因素。方法回顾性分析24例老年人SAH继发脑梗死的临床特征和辅助检查结果与临床治疗价值。结果 8例在发生脑梗死5~7d后死亡,其中,2例死于大面积脑梗死,2例合并肺部感染死亡,2例昏迷程度加深合并上消化道出血死亡,其余16例病情好转,但留有偏瘫后遗症,自动出院。结论老年人SAH后梗死患者预后差,死亡率高。早期预防SAH发生,是治疗SAH的主要措施。
Objective To analyze the clinical characteristics of elder patients with primary subarachnoid hemorrhage (SAH) cerebral infarction and the relationship between cerebral vasospasm and risk factors. Methods Retrospective analysis of 24 elderly patients with SAH secondary cerebral infarction clinical features and auxiliary examination results and clinical value. Results 8 cases died of cerebral infarction 5 to 7 days after operation. Among them, 2 died of large-area cerebral infarction, 2 died of lung infection, 2 died of upper gastrointestinal hemorrhage. The remaining 16 cases improved, However, left hemiplegia sequelae, automatic discharge. Conclusion Elderly patients with poor prognosis after SAH infarction, high mortality. Early prevention of SAH is the main treatment for SAH.