젊은 연령층과 고령층에서 발생하는 뇌동맥류의 임상적 비교연구
Clinical Comparative Study of Cerebral Aneurysms in Young and Old Aged Patients
소속 상세정보
전용선/Yong Sun Jeon
송시헌/고현송/염진영/김성호/김윤/Shi Hun Song/Hyeon Song Koh/Jin Young Yeom/Seong Ho Kim/Youn Kim
KMID : 0359819980270081039
Abstract
결론
1) 뇌동맥류의 남녀 발생빈도는 젊은 층은 2.2 : 1로 남자에서, 고령층은 1 : 5.4로 여자에서
빈발하였다.
2) 젊은 층에서는 전교통동맥(43%)에, 고령층에서는 후 교통동맥(33.3%)에 가장 많이 발생
하였다.
3) 고혈압의 병력은 젊은 층에 더 많으며 (45.1%) , 출혈이 발생할 당시에 활동성 유발 인
자를 가졌던 경우도 젊은 층에서 더욱 많았다(52.9%),
4) 내원시 신경학적 상태는 젊은 층이 고령층에 비하여 더 좋은 상태로 입원하였으며, 수술
후 젊은 층에서는 90.7%에서, 고령층에서는 70.3%에서 양호한 회복을 보였다.
5) 고령층에서는 수술 후 합병증의 예방에 유의하고, 젊은 층은 조기수술과 적극적 치료를
시행할 경우 사망률과 유병률을 낮출 수 있을 것이다
#초록#
Among the four-hundred patients with cerebral aneurysms confirmed by cerebral
angiography, we divided them into two age groups, one with ages 39 years or
younger(young-aged group :51 patients, 12.8%), and another with ages 65 years or
older(old aged group : 45 patients, 11.3%). A comparison was undertaken in regard to
clinical characteristics and overall outcome in two groups.
In young-aged group. the female-to-male ratio was 2.2:1 whereas. women was
predominant by five times more in old aged group. Anterior communication artery
aneurysm was the mose common site(43.3%) in young-aged group unlike to old aged
where posterior communicating artery was the mose common site. The mose common
symptom was headache in both groups. and the hypertension was more frequent in
young-aged group(45.5%) than old-aged group(33.3%). Surgery was performed in 43
patients(84%) in younger group. and 37 patients(82.2%) in elderly group. Young-aged
group showed more favorable outcome(91%) than old-aged group(70%).
키워드
Cerebral aneurysm; Age; Clinical analysis; Prognosis.;
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