Prognostic Factors Analysis Of Senium Patients With Acute Cerebral Hemorrhage

Purpose: To investigate the clinical factors which influence the prognostic of senium patients with acute cerebral hemorrhage.Method: 692 hypertensive cerebral hemorrhage patient were collected in the fifth affiliated hospital of Guangxi medical university from the January of 2000 A.D. to December o?f 2006 A.D., according the diagnostic criteria emendatory in 4th cerebrovascular disease academic conference and on the basis of clinical manifest head CT. All patients were divided into study group whose age≥60 years (456) and control group whose age <60 years(236). To contrastive analysis two groups the basic disease ,infection, multiple organ dysfunction syndrome(MODS), incidence rate of encephalocele, fatality rate and cause of death.Results: The proportion of study group patients with hypertensive disease, heart disease, diabetes, stroke, chronic lung disease was higher than that's of control group patients significantly(P<0.05～0.001). the infection rate of study group patients and respiratory tract infections rate was higher than that's of control group patients significantly(P<0.001). The proportion of study group infected patients with hypertensive disease, heart disease, stroke, chronic lungdisease was higher than that's of control group patients significantly(P<0.05～ 0.001). the MODS incidence rate of study group patients was higher than that's of control group patients significantly (P<0.05～0.001).The damage rate of cardiovascular function and renal function , study group patients was higher than that's of control group patients significantly (P<0.001).the infection rate are higer, both of study group and control group (all>80%), but there is no significance difference between them(P>0.05).The fatality rate of study group patients was higher than that's of control group patients significantly (P<0.001). The rate of those dead of purely encephalocele or with MODS have no significance difference between study group and control group (P>0.05). The rate of those dead of purely MODS study group was higher than that's of control group patients significantly (P<0.001).Conclusion(:1)MODS is the main cause lead to death in acute intracerebal hamorrhage of senium patients besides encephalocele is the important cause of all age.(2) Senium patients with acute cerebral hemorrhage is more easy to catch respiratory system infect and MODS. Cardiovascular function and renal function damage is more prominent in MODS, respiratory system infect and MODS are important factors which lead to bad prognosis in senium patients with acute cerebral hemorrhage.