70岁以上老年人急性脑梗塞(ACI)81例临床特点、CT改变及预后对照分析

目的：探讨７０岁以上老年人ＡＣＩ的临床特点、ＣＴ改变与预后。方法：８１例７０岁以上经ＣＴ证实的ＡＣＩ与７２例７０岁以下者比较，对起病状态，起病到就诊时间、临床表现、危险因素、ＣＴ改变，预后等资料进行统计分析。结果：本组８１例多数起病于安静状态或睡眠中，在超急性期就诊者仅占２２．７％。临床表现以肢体无力和头昏头晕最多见，梗塞部位以基底节区和脑叶梗塞最多。结论：≥７０岁老人ＡＣＩ死亡率高，住院时间明显长于＜７０岁组。

A Clinical Analysis of ACI (Acute Cerebral Infarction) in Elderly Patients

Objectivec:To study the clinical presentations and prognosis of ACI in elderly patients(70 years and over).Methods:The attack features, the time from the occurrence to clinical admission, clinical presentation and effectiveness of treatment were analyzed in elderly patients with ACI. Results:The attack of most patients occurred under sleep and rest conditions. Only 22.7% of ACI patients were hospitalized in ultra-early stage. The major complaint is weakness in limb and dizziness. Conclusion:The mortality of this group was 9.9%,higher than the control group.(P<001) the time they stay in hospieal is much lorger than the control group.