老年性脑出血87例急性期死亡分析

An Analysis of 87 Dead Elderly Cases due to Cerebral Haemorrhage

本组死亡的87例脑出血,系1983～1986年间住院治疗病例,男55例,女32例。发病以冬春季占多数,发病时血压在26.7kPa(200mmHg)以上占62例。一周内死亡占74例(2日内死亡占58例)。临床类型:内囊型65例,脑室型18例,桥脑型3例,小脑型1例。并发症中脑疝57例,应激性溃疡17例,肺炎15例,抽搐4例。为了减少死亡,即使是老年病例,除积极保守治疗外,对早期病情稳定的,又属外侧型的病例,建议及时进行手术治疗。

There were 87 dead elderly cases due to cerebral haemorrhage admitted in 1983-1986, with 55 male, and 32 female. The incidence occurred mostly in winter and spring, 62 cases had a blood pressure above 26.7 kPa, 74 cases died within one week (58 cases within 2 days). Among the clinical types, 65 cases belonged to the Internal capsul type, 18 cases had a haemorrhage into the ventricle, 3 cases, belonged to the pontine type and 1 case, cerebellum. As for the complications in this series, 57 cases had brain hernia, 17 cases had peptic ulcer due to stress, 15 cases had pneumonia, 4 cases had convulsion. In order to decrease the mortailty, under careful conservative treatments, surgical operation in time is suggested if the patient is an external type and is in a stable condition, even though he or she is old in age.