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近10年来,我院收治老年期及老年前期蛛网膜下腔出血(SAH)病人46例,现结合临床资料对其临床特点加以浅析,以提高对不典型病例的认识。1.临床资料:本组年龄50～76岁,平均62.2岁。病程2～44天。其中在情绪激动、饮酒、卧位突然坐起等活动中发病29例,静态发病5例,无明显诱因12例。既往有高血压病史19例,脑卒中史3例,头痛史5例,SAH史4例。临床表现为血压高26例,剧烈头痛14例,呕吐33例,意识障碍35例,偏瘫11例,脑膜刺激征27例,单侧巴氏征阳性9例。腰穿脑脊液外观均为血性,呈鲜红或粉红色,其中压力增高(>1.76kPa)14例。经降颅压、止血及对症治疗,治愈19例,好转14例,无效
The past 10 years, our hospital admitted to the elderly and elderly patients with subarachnoid hemorrhage (SAH) in 46 cases, clinical data are now combined with its clinical features to be analyzed in order to improve awareness of atypical cases. 1. Clinical data: The group aged 50 to 76 years, mean 62.2 years old. Duration of 2 to 44 days. Among them, there were 29 cases of agitation, alcohol consumption, sudden sitting and other activities, 5 cases of static state and 12 cases of no obvious inducement. Previous history of hypertension in 19 cases, 3 cases of stroke, headache in 5 cases, 4 cases of history of SAH. The clinical manifestations were high blood pressure in 26 cases, severe headache in 14 cases, vomiting in 33 cases, disturbance of consciousness in 35 cases, hemiplegia in 11 cases, meningeal irritation in 27 cases and unilateral Pap smear positive in 9 cases. Lumbar cerebrospinal fluid were bloody appearance, was bright red or pink, of which increased pressure (> 1.76kPa) in 14 cases. After reducing intracranial pressure, bleeding and symptomatic treatment, 19 cases were cured, improved in 14 cases, invalid