老年与非老年脑梗死临床对比观察

目的 为探讨老年与非老年脑梗死患者临床与CT的不同,为及时诊断与有效治疗提供依据。方法 对30例老年与24例非老年脑梗死患者临床表现及CT结果进行对照观察。结果 除主要危险因素高血压、高血脂、糖尿病外,慢性支气管炎并发肺部感染也是造成老年脑梗死的另一重要原因。老年组预后差(P<0.05),这与年龄及合并症有关,同时CT显示脑萎缩多见,部分患者临床符合脑梗死诊断,而CT仅示脑萎缩。结论 提示诊断除依靠CT外,无MRI条件时,还应结合临床。

Clinical analysis in senile and non - senile patients with cerebral infarction

Objective To seek for diagnosis and treatment in time.it was investigated that differences between clinical manifestation and CT image in senile and non - senile patients with cerebral infarction. Methods Clinical manifestation and CT image of 30 senile patients with cerebral infarction were compared with 24 non - senile cases. Results Execpt the important risk factors such as; Hypertension, high blood lipemia and diabetes, that Chronic bronchitis was alsc another an im-portant risk factar as it was complicated by pneumonitis for it caused the cerebral infarction in the senile patients. The prognosis of senile group was worse (P<0. 005). It concerned with age and complication. The brain CT image often showed en-cephalotrophy and in some semile cases wese only demonstrated encephalotrophy on CT image. Conclusion Besides CT the diagnosis of cerebral infarction should combine with clinic.