Clinical analysis of the treatment of patients with medium volume of supratentorial hypertensive cerebral hemorrhage in the elderly
10.3760/cma.j.issn.1673-4904.2013.17.008
- VernacularTitle:高龄中等量幕上高血压脑出血的临床救治分析
- Author:
You ZUO
;
Qingsuo ZHAO
;
Juan DU
;
Shaowei ZHANG
;
Bin LIU
- Publication Type:Journal Article
- Keywords:
Intracerebral hemorrhage,hypertensive;
Aged;
Supratentorial
- From:
Chinese Journal of Postgraduates of Medicine
2013;36(17):23-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical features and treatment measures on patients with medium volume of supratentorial hypertensive cerebral hemorrhage in the elderly.Methods The clinical data of 57 patients with medium volume of supratentorial hypertensive cerebral hemorrhage aged ≥ 70 years were analyzed retrospectively.Results All of 57 patients,15 cases accepted medical treatment,42 cases were treated with minimally invasive operation for 1-26 (4.6 ± 6.5) h after onset.Three cases died in hospital,7 cases were transferred or gave up,6 cases lived as plant,8 cases were severely maimed,11 cases were moderately maimed,22 cases [38.6％(22/57)] recovered favorably.The main clinical characteristics of elderly patients:long history of hypertension,blood pressure fluctuation; atypical symptoms of increased intracranial pressure; more complications such as arrhythmia and pulmonary infection; most of family members of patients were pessimistic to treatment.Conclusions All factors should be thought over about the treatment of elderly patients with medium volume of hypertensive cerebral hemorrhage.Individual treatment is reasonable.Do not emphasize on early operation,minimally invasive operation can be helpful for patients.
