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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。
Objective To explore the difference between clinical and CT in senile and non-senile patients with cerebral infarction, and to provide basis for timely diagnosis and effective treatment. Methods The clinical manifestations and CT findings of 30 elderly patients and 24 non-elderly patients with cerebral infarction were observed. Results In addition to the main risk factors of hypertension, hyperlipidemia and diabetes, chronic bronchitis complicated by pulmonary infection is another important cause of cerebral infarction in the elderly. The elderly group had poor prognosis (P <0.05), which was related to age and comorbidities. CT showed that brain atrophy was more common, and some patients were clinically accorded with the diagnosis of cerebral infarction while CT showed only brain atrophy. Conclusions suggest that in addition to rely on CT, no MRI conditions, should also be combined with clinical.