50岁以上自发性蛛网膜下腔出血的临床表现

• 作 者: 徐谦 汪辅仁 韩荣河 周步高
• 机 构: 哈尔滨铁路中心医院神经科,哈尔滨铁路中心医院神经科,哈尔滨铁路中心医院神经科,哈尔滨铁路中心医院神经科,
• 出 处: 新医学
• 发表日期: 1978年01期
• 关键词: 脑膜刺激征 蛛网膜下腔出血 脑血管病 意识障碍 肢体瘫痪 脑动脉硬化 病理反射 诱因 血压 脑血管畸形

本文总结50岁以上蛛网膜下腔出血35例,其发病率占脑血管病的3.1%,其特点为突然发病,半数以上病人可找到诱因。头痛及脑膜刺激征随年龄的增高而减少,而意识障碍随年龄的增长而明显增多,61岁以上近100%。血压大多偏高,瘫痪一般出现在疾病早期。提出50岁以上患者,除典型病例外,凡突然发病、有意识障碍、无明显肢体瘫痪,即使没有头痛或脑膜刺激征,也应考虑本病的可能。

This article summarizes 35 cases of subarachnoid hemorrhage over the age of 50, the incidence of cerebrovascular disease accounted for 3.1%, which is characterized by a sudden onset, more than half of the patients can find incentives. Headache and meningeal irritation decreased with increasing age, and disturbance of consciousness increased significantly with age, nearly 61% of the elderly. Mostly high blood pressure, paralysis generally appear early in the disease. Proposed patients over the age of 50, in addition to the typical cases, where a sudden onset, disturbance of consciousness, no obvious paralysis of limbs, even if there is no headache or meningeal irritation, should also consider the possibility of this disease.