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我院内科1975年1月至1998年9月共收治自发性蛛网膜下腔出血(SAH)282例,60岁以上有152例,占同期SAH的39.2％,病死率为17％。就老年人SAH的特点作一临床分析。1 临床资料 一般资料:本组152例,男90例,女62例。年龄在60～84岁之间,平均72岁。其中60—69岁120例,70—84岁32例。能找到发病诱因者有90例,占59.2％。其中看电视、打扑克、看录相时发病16例,用力活动中发病20例,因情绪激动发病12例,开会发言时发病10例,饮酒后发病10例,解大便时发病8例,打麻将发病8例,睡眠中起病6例。其他无明显诱因58例,占38.2％。
A total of 282 cases of spontaneous subarachnoid hemorrhage (SAH) were admitted to our hospital from January 1975 to September 1998, 152 of whom were over the age of 60, accounting for 39.2% of the SAH in the same period and the case fatality rate was 17%. On the characteristics of elderly SAH for a clinical analysis. 1 Clinical data General information: The group of 152 patients, 90 males and 62 females. The age of 60 to 84 years old, with an average of 72 years old. Of which 120 cases of 60-69 years old, 70-84 years old in 32 cases. 90 cases can find the inducement of the disease, accounting for 59.2%. Of them, 16 were found watching television, playing poker and watching videos, 20 were found during forced activities, 12 were caused by agitation, 10 were found when speaking, 10 were after drinking, 8 were developed when stool was defecated, and 8 Mahjong in 8 cases, onset of sleep in 6 cases. Other no obvious incentive 58 cases, accounting for 38.2%.