摘要
目的 分析不同年龄脑卒中患者的死亡原因 ,以利于临床重症脑卒中的抢救治疗。方法 5 6例脑卒中死亡者分为中青年组和老年组 ,对其临床表现、并发症、死亡时间、直接死因等进行回顾性分析总结。结果 两组并发症均以肺部感染、泌尿系统感染、上消化道出血为主要表现 ;两组病例死亡时间绝大部分为发病 30d内 ;中青年组直接死因为原发病本身 ,老年组死于原发病者为 70 % ,余死于各种并发症。结论 对中青年脑卒中患者应尽早控制原发病 ,挽救生命 ;对老年脑卒中患者应在治疗原发病的同时积极防治并发症 ,注意对心。
Objective To analyze the death cause by strokes at different ages in order to benefitting to clinical salvage and treatment of serious stroke.Methods 56 death cases by stroke were divided into youth middle age group and agedness group,the clinical manifestations,complications,death time and direct death cause were analyzed and summarized retrospectively.Results In both groups,the main complications wre lung infection,urinary system infection and upper alimentary tract hemorrhage,in most of the cases,the death times were within 30 days from the onset.The direct death cause in the youth/middle age group was the primary disease itself,while 70% of those in the agedness group died of the primary affection,the rests died of various complications.Conclusions The earliest control of the primary disease and life salvage should be applied to youth/middle age stroke.For the agedness stroke,in the treatment of the primary disease,active preventions of the complications should be applied simultaneously,attentions should be paid to the protections of the principal organs,i.e.,heart and kidneys,etc.
出处
《北京医学》
CAS
北大核心
2002年第2期95-96,共2页
Beijing Medical Journal
