急诊救治老年人大面积脑梗死患者66例死因再认识

Analysis of Death Causes of Sixty-Six Old Patients with Cerebral Infarction

目的:分析老年脑梗死患者的死亡因素和探讨急救方案。方法:研究对象为66例脑梗死患者,年龄60岁以上,经CT证实均为大面积脑梗死。结果:死亡因素依次为多器官功能衰竭25例(37％)、脑疝并肺部感染15例(22％)、脑疝11例(16％)和肺部感染7例(10％)等。结论:多器官功能衰竭、脑疝或合并肺部感染是老年大面积脑梗死患者死亡的主要因素,溶栓、抗凝、改善脑血液循环等早期治疗是提高成活率的关键。

Objective: To study the death causes of old patients with cerebral infarction. Methods: Sixty-six old patients with cerebral infarction were identified by CT. Age of all patients is over 60 years. Results: Causes of die were respectively multiple organ failure(37%), cerebral hernia superposed lung infections(22%), cerebral hernia(16%)and lung infections (10%). Conclusions: Main death causes of old patients with cerebral infarction were multiple organ failure,cerebral hernia superposed lung infections, cerebral hernia and lung infections. It is very important tor the patient to take in early treatment.