贵州医科大学学报

1984, (03) 36-38

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213例70岁以上老年人急性脑血管病的临床特点
The Clinical Characteristics of CVD in 213 Cases of Patients Over 70—year—old

王世杰;赵明祥;卢亮;
Wang Shijie Department of Neurology

摘要(Abstract):

<正> 我院自1978年7月至1981年6月的四年内,共收治70岁以上的急性脑血管病2l 3例,占同期收治的急性脑血管为736例的28.9%。其中脑出血占56.8%,蛛网膜下腔出血占3.7%,脑血栓占37.1%,脑栓塞占2.4%为了解其临床特点、总结防治经验,现将有关临床资料作一分析报道。临床资料性别与年龄:本组男性129例(60.6%),
From July 1978 to June 1981, 736 cases of CVD were admitted to our department, there were 213 cases over 70--year--old (28.9%) . The classification of CVD was cerebral hemorrhage (56.8%), subarachnoid hemorrhage(3.7%), cerebral thrombosis (37.1%), cerebral embolism (2.4%). The clinical featnues were as follows: ① Etiology may be rather simple. The majority of cases showed the evi- dences of hypertension and cerebral ar- terio-artherosclerosis; ②The majority of eases were complicated by systemic diseases (i.e.coronary heart disease et al); ③ The clinical pictnre was va- gue and atypical; ④The mortality rate was as high as 72.2% in cerebral hemorrhage. As for the manage-- ment of this group of patients, we should emphasize a few points: Both the drugs for treating brain ede- ma and the drugs for cerebral vascular dilatation should be carefully selec- ted and the dosage should be smaller than ordinary paitents; more attention should be paid to the general condi- tion of the patient, especially the vital internal organs during the vigorous treatment of CVD.

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作者(Author): 王世杰;赵明祥;卢亮;
Wang Shijie Department of Neurology

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DOI: 10.19367/j.cnki.1000-2707.1984.03.013

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