年轻人与中老年人脑干出血的差异性分析

Analysis of the differences of brain stem hemorrhage between the young and the elderly people

目的:分析年轻人与中老年人脑干出血的差异性,为脑干出血的进一步防治提供科学依据。方法:对武汉协和医院2001-2010年收治的65例脑干出血患者的临床资料进行回顾性分析。结果:所调查患者当中,年轻人(≤45岁)37例,中老年人(>45岁)28例。年轻患者中高血压37例,均未服用降压药(100%),男性34例(91.9%),吸烟30例(81.1%),死亡34例(91.9%);中老年患者中高血压28例,均长期服用降压药(100%),男性18例(64.3%),吸烟2例(7.1%),死亡21例(75%)。结论:两组基础病因均为高血压,但是危险因素存在差异性,年轻人主要是高血压未规律治疗,死亡率极高,而中老年人主要是长期高血压但坚持服药,病死率稍低于年轻人。

Objective： To analyze the difference of brain stem hemorrhage between young and the elderly people, then to supply the scientific data of further prevention and treatment for brain stem hemorrhage. Method： A retrospective analysis of 65 patients with brain stem hemorrhage from admission in 2001 to 2010 were performed. Result： Among those patients,there were 37 young people within 45 years old and 28 elderly people beyond 45 years old. In young patients,37 cases of hypertension without use of the antihypertensive drugs（ 100%）,34 males（ 91. 9%）,30 cases of smoking（ 81. 8%）,34 cases of death（ 91. 9%）. In elderly patients,28 cases of hypertension with long-term use of the antihypertensive drugs（ 100%）,18 males（ 64. 3%）,2 cases of smoking（ 7. 1%）,21cases of death（ 75%）. Conclusion： The underlying cause of both groups were hypertension,but there were differences between the two groups for risk factors. Because of the irregular treatment of hypertension in young people,the mortality rate was very high. Although the longterm high blood pressure in the elderly,but they insist on longterm medication,the mortality was slightly lower than that of young people.