66岁及以上患者的动脉瘤性蛛网膜下腔出血的预后

Outcome of aneurysmal subarachnoid hemorrhage in patients 66 years of age and older.

作者信息

Muizelaar J P, Vermeulen M, van Crevel H, Hijdra A, van Gijn J, Teasdale G M, Lindsay K W, Murray G D

机构信息

Division of Neurosurgery, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0001.

出版信息

Clin Neurol Neurosurg. 1988;90(3):203-7. doi: 10.1016/0303-8467(88)90022-4.

DOI:10.1016/0303-8467(88)90022-4

PMID:3197345

Abstract

The outcome at three months after aneurysmal SAH in a group of older patients and a group of younger patients is compared. The patients were admitted within 72 hours of their SAH. Of 61 patients 66 years of age and older, comprising 13% of the whole patient group, 52% died, 12% remained dependent and 36% became independent. In the younger group, 55% had an independent outcome (p less than 0.01). In contrast to what we expected in the older patient group, not extracranial, but intracranial events (re-bleeds, infarcts, hydrocephalus) were by far the most frequent cause of deterioration.

摘要

比较了一组老年患者和一组年轻患者动脉瘤性蛛网膜下腔出血（SAH）三个月后的结局。这些患者在SAH发作后72小时内入院。在61名66岁及以上的患者中，占整个患者组的13%，52%死亡，12%仍有依赖，36%恢复独立。在较年轻的组中，55%有独立的结局（p<0.01）。与我们在老年患者组中的预期相反，导致病情恶化的最常见原因不是颅外事件，而是颅内事件（再出血、梗死、脑积水）。