【摘要】 目的:探讨高龄脑出血患者的临床特点及防护措施。方法:回顾总结42例80岁以上(高龄组)和同期住院的84例50～70岁(对照组)脑出血急性期患者高血压病史、并发症和治疗结果,并将两组资料进行统计学分析。结果:高龄脑出血患者高血压病史比例明显降低,发病后神经功能损害较重,较多出现脑疝和继发肺部感染,住院期间治愈率低、死亡率高。结论:80岁以上高龄脑出血急性期患者具有一些独特的临床规律,采取相应的防护措施将有助于降低发病率、减少并发症和提高治愈率。更多还原

【Abstract】 Objective:To explore some clinical features and nursing countermeasures of intracerebral hemorrhage(ICH) in the elderly patients.Methods:The histories of hypertension,medical complications and outcome on discharge were analyzed retrospectively in 42 patients with ICH aged 80 years of over(elderly group),and were compared with those in 84 patients with ICH aged 50 to 70 years admitted in the same time(controls).Results:In contrast to the controls,the elderly patients with ICH showed a significantly lower frequencies of history of hypertension.The neurological deficits were more severe,and the rates of brain herniation,pulmonary infection,in-hospital mortality and disablement were relatively high.Conclusion:The elderly patients with ICH showed some peculiar clinical features.Appropriate management of nursing countermeasures may reduce the morbidity,and complication and improve the outcome.更多还原