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老年人的神经系统急症

Neurologic Emergencies in the Elderly.

作者信息

Nentwich Lauren M, Grimmnitz Benjamin

机构信息

Department of Emergency Medicine, Boston Medical Center, Dowling 1 South, 1 Boston Medical Center Place, Boston, MA 02143, USA.

Department of Emergency Medicine, Boston Medical Center, Dowling 1 South, 1 Boston Medical Center Place, Boston, MA 02143, USA.

出版信息

Emerg Med Clin North Am. 2016 Aug;34(3):575-99. doi: 10.1016/j.emc.2016.04.009.

Abstract

Neurologic diseases are a major cause of death and disability in elderly patients. Due to the physiologic changes and increased comorbidities that occur as people age, neurologic diseases are more common in geriatric patients and a major cause of death and disability in this population. This article discusses the elderly patient presenting to the emergency department with acute ischemic stroke, transient ischemic attack, intracerebral hemorrhage, subarachnoid hemorrhage, chronic subdural hematoma, traumatic brain injury, seizures, and central nervous system infections. This article reviews the subtle presentations, difficult workups, and complicated treatment decisions as they pertain to our older patients."

摘要

神经系统疾病是老年患者死亡和残疾的主要原因。由于随着人们年龄增长而出现的生理变化和合并症增加,神经系统疾病在老年患者中更为常见,并且是该人群死亡和残疾的主要原因。本文讨论了因急性缺血性中风、短暂性脑缺血发作、脑出血、蛛网膜下腔出血、慢性硬膜下血肿、创伤性脑损伤、癫痫发作和中枢神经系统感染而到急诊科就诊的老年患者。本文回顾了与老年患者相关的细微表现、复杂的检查过程以及复杂的治疗决策。

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