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目的:探讨65岁以上老年人自发性蛛网膜下腔出血的临床特点。方法:对我院近6年来收治的72例此类患者的临床资料进行对照分析,其中老年人30例,中青年42例。结果:老年人病因以高血压脑动脉硬化为主,临床表现为不典型脑膜刺激征,意识障碍常见且明显,并发症多,误诊率高及病死率高。结论:对以头痛、意识障碍为主要表现的老年病例应高度重视,常规进行脑脊液等检查以减少误诊,以便及时治疗。
Objective: To investigate the clinical features of spontaneous subarachnoid hemorrhage in the elderly over 65 years old. Methods: The clinical data of 72 patients admitted to our hospital for the past 6 years were analyzed, including 30 elderly patients and 42 middle-aged and young patients. Results: The main cause of hypertension in elderly patients was hypertensive cerebral arteriosclerosis. The clinical manifestations were atypical meningeal irritation. Common and obvious disturbance of consciousness, multiple complications, high misdiagnosis rate and high mortality. CONCLUSIONS: Elderly patients with headache and disturbance of consciousness should be given high priority. Cerebrospinal fluid tests should be routinely performed to reduce misdiagnosis for timely treatment.