一百岁以上的人脑电脑断层扫描向急诊室呈现:年龄是CT扫描的指示吗?
1Department of Emergency Medicine, Recep Tayyip Erdoğan University Training and Research Hospital, Rize, Turkey. drismailatas@gmail.com.
European review for medical and pharmacological sciences
|August 22, 2023
概括
百岁老人的脑电脑断层扫描 (CT) 显示没有急性发现,但显示了与年龄相关的白脑病变. 在年轻的老年患者中,心室大小更大,突出了CTCT.
科学领域:
- 老年医学 老年医学
- 放射学 放射学是一门学科.
- 神经学 神经学
背景情况:
- 百岁老人在紧急情况下存在独特的诊断挑战.
- 脑电脑断层扫描 (CT) 对于评估非创伤性紧急情况至关重要.
研究的目的:
- 调查脑CT在患有非创伤性投诉的百岁老人中的实用性.
- 分析年龄,入院症状和老年人CT检测结果之间的关系.
- 为了比较百岁老人和年轻的老年人群之间的成像衰老标志物.
主要方法:
- 对于因非创伤原因住院的100岁以上患者 (2012-2021) 的回顾性分析.
- 评估人口统计数据,入院投诉和脑CT指示.
- 与一个年轻的队列 (85-90岁) 进行Fazekas等级和Evans指数的比较.
主要成果:
- 大脑CT在41.1%的百岁老人中进行,通常是由于异常症状.
- 没有检测到急性病理;然而,23.5%的人有偶然的内质量或慢性缺血性变化.
- 白脑病变 (Fazekas等级) 随着年龄的增长 (p=0.002),而心室直径在85-90组中更大 (p=0.017).
结论:
- 对于非创伤性紧急情况的百岁老人的脑CT很少显示急性病理,但有助于诊断.
- 与年龄相关的白细胞大脑病变明显,百岁老人和年轻的老年人之间心室大小不同.
- 对于非常老年人的非典型表现的管理,CT仍然至关重要.
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