老年人蛛网蟆下腔出血的临床分析

Clinical analysis of subarachnoid hemorrhage in the aged

目的:探讨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108例SAH患者分为老年组(68例)和非老年组(40例),对比分析期临床特点。结果:两组患者在起病形式、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,对以头痛、意识障碍为主要表现的老年患者应高度重视,及时行脑脊液、头颅CT等检查,以降低误诊率。

Objective： To probe the clinical characteristics of subarachnoid hemorrhage （SAH） in the aged and to analyse the cause of misdiagnosis. Method The clinical data of 108 patients were divided into two groups ： the aged group （ n = 68） and the nonaged group （n =40） ,and their different clinical characteristics were compared. Results Obvious differences were found in the two groups in the modality of attack, the first symptom and the misdiagmosis rate. Conclusion The modality of attack and the clinical symptom are always not typical,so we should care those who mainly represent as headache and conscious disturbance in the aged. then to detect the cerebrospinal fluid and head CT,so as to reduce the misdiagnosis rate.