| 刘沈秋,柳纯安.71例90岁以上长寿老人临床资料分析[J].,1988,(7):407-409,389 |
| 71例90岁以上长寿老人临床资料分析 |
| Clinical Analysis on 71 Cases of Nonagenarian |
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| DOI： |
| 中文关键词: 长寿老人 泌尿道感染 冠心病 死亡原因 肺炎 恶性肿瘤 脑血管意外 上呼吸道感染 肾功能衰竭 乙状结肠癌 |
| 英文关键词: |
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| 中文摘要: |
| 本文对71例长寿老人住院资料进行分析报道。结果:肺炎是长寿老人的主要住院及死亡原因,分别占35.9%、41.2%。在11例恶性肿瘤患者中,死于肿瘤者7例。71例中患冠心病者占69%,患泌尿道感染者占33.8%,各死亡3例,各占死亡病例之8.8%。泌尿道感染及溃疡病在长寿老人中较易漏诊。≥90岁时作各种手术12例。均未因手术导致死亡。笔者认为多数患者宜中西医密切结合治疗。 |
| 英文摘要: |
| This paper reported clinical observation on 71 hospitalized nonagenarians.46 were male and 25 female.The average age was 92.2 years old.34 cases were dead and 18 autopsied.The total number of hospitalization was 145 times in this group since 90 years old.The chief causes of hospitalization were pneumonia 52,URI 27,urinary tract infection 9,malignancy 8,gout 6,renal failure 4 and fracture of femur 3.The main diagnoses were coronary heart disease 49,pneumonia 39,cerebral arteriosclerosis 29,urinary tract infection 24(diagnosed by autopsy 8),malignancy 11 and peptic ulcer 8(diagnosed by autopsy 4).The corresponding number of death in sequence of the above- mentioned diseases was 3,14,2,3,7 and 2. 34 cases of nonagenarians were treated with combined therapy of TCM-WM.All of them were mixed deficiency-excessiveness syndrome.4 of them were Yang 阳(Qi 气)deficiency,30 cases were deficiency of both Qi and Yin 阴.These deficiencies were often complicated with phlegm,blood stasis,both phlegm and stasis of blood,transfomation into heat,etc.during admission.Through analysis it was believed that pneumonia was the chief cause of hospitalization and death for nonagenarians.Urinary tract infection and peptic ulcer were highly incidental and easily miss- diagnosed.Early detected malignancy in the elderly with aggressive comprehensive treatment including surgical resection was favorable in prolonging the life expectancy.3 cases suffered from carcinoma of sigmoid at age from 78 to 82;they received surgical and other combined treatment;all survived and reached nonagenarian.Various.operations wore performed in 12 nonagenarians without death thereupon.The authors believed that the majority of nonagenarian patients were suitable in receiving integrated TCM-WM therapies. |
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