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目的探讨老年急性脑梗死患者胸片分布特点。方法分析233例住院老年急性脑梗死患者的胸片资料,分为60~69岁、70~79岁和≥80岁3组,分别计算各组阳性结果,并计算检出率。结果 233例患者中检出率较高的前5种征象为肺炎、肺间质病变、结节灶、肺大泡、肺气肿,其中不同年龄组、不同性别差异有统计学意义(P<0.05)。结论老年急性脑梗死患者随着年龄的增长易并发肺炎,尤以男性为主,因此对老年急性脑梗死患者进行胸片方面的检查和监测是很有必要的,住院期间应加强护理与预防。
Objective To investigate the distribution of chest X-ray in elderly patients with acute cerebral infarction. Methods The chest radiography data of 233 hospitalized elderly patients with acute cerebral infarction were analyzed and divided into three groups of 60-69 years, 70-79 years and 80 years old. The positive results were calculated and the detection rate was calculated. Results Among the 233 cases, the first five signs with higher detection rate were pneumonia, interstitial lung disease, nodules, bullae and emphysema. There were significant differences among different age groups and genders (P < 0.05). Conclusions Patients with senile acute cerebral infarction are prone to complicated with pneumonia with age, especially men. Therefore, it is necessary to carry out chest radiograph examination and monitoring in elderly patients with acute cerebral infarction. Nursing and prevention should be strengthened during hospitalization.