老年人蛛网膜下腔出血的临床特点分析

Analysis of clinical characteristics of subarachnoid hemorrhage in the aged

目的研究老年人蛛网膜下腔出血(SAH)的临床特点并分析误诊原因。方法将103例SAH患者分为老年组(70例)和非老年组(33例),对比分析其临床特点。结果2组患者在起病形式、首发临床症状以及首次就医的误诊率方面有明显差异。结论老年SAH的起病形式和临床表现常不典型,因此导致延缓就诊及误诊。

Objective To study the clinical characteristics of subarachnoid hemorrhage （SAH） in the aged and to analyse the causes of misdiagnosis. Methods The clinical data of 103 patients were analysed. They were divided into two groups： the aged group （70） and the non-aged group （33）. Their different clinical characteristics were compared. Result Obvious differences were found in the modality of attack, the first symptom and the rate of misdiagnosis. Conclusion The high rate of misdiagnosis results from the atypical clinical characteristics of SAIl in the aged.