The course of intracerebral hypertensive hemorrhages depending on age and gender

A. Kaminskyi
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Abstract

Objective ‒ to analyze the clinical course of patients with intracerebral hypertensive hemorrhages depending on age and gender.Materials and methods. An analysis of the treatment of 238 patients with hypertensive intracerebral hemorrhages, who were treated at the Kyiv City Clinical Hospital of Emergency Medical Care from 2018‒2019, was conducted. The majority of patients were men (163).Results. The average age of patients was 60 years. Patients are divided into age groups according to the WHO classification (2016). Young age (18‒44 years) ‒ 25 (23 men and 2 women), average age (45‒59 years) ‒ 91 (74 men and 17 women), old age (60‒74 years) ‒ 90 (52 men and 38 women), old age (75‒90 years) ‒ 32 (14 men and 18 women). There are no long-lived people (>90 years). 84 patients were operated on, and 94 surgical interventions were performed. Patients with lobar and lateral hematomas, as well as with significant hemorrhages with a breakthrough in the ventricular system, who underwent fluid-draining surgical interventions, were operated on. The total mortality was 39.5 %. Surgical mortality rate was 46.4 %.Conclusions. According to the conducted analysis and the data of the Center for Medical Statistics of the Ministry of Health of Ukraine, the incidence of hemorrhagic stroke is many times more frequent in men, which is most likely due to a more aggressive lifestyle, lack of control over arterial hypertension, bad habits (alcohol consumption and smoking). The highest mortality rate was observed in elderly patients (47 %) and young patients (48 %), regardless of the patient’s condition at the time of admission.
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脑内高血压出血的病程与年龄、性别的关系
目的:分析不同年龄、性别的脑高血压出血患者的临床病程。材料和方法。对2018-2019年在基辅市急诊临床医院收治的238例高血压脑出血患者的治疗情况进行分析。大多数患者为男性(163例)。患者平均年龄60岁。根据世卫组织的分类(2016年),将患者分为不同年龄组。青年(18 - 44岁)- 25岁(23名男性和2名女性),平均年龄(45-59岁)- 91岁(74名男性和17名女性),老年(60-74岁)- 90岁(52名男性和38名女性),老年(75-90岁)- 32岁(14名男性和18名女性)。没有长寿的人(超过90岁)。手术84例,手术干预94例。有大叶血肿和外侧血肿的患者,以及有脑室系统突破的严重出血的患者,接受了引流手术干预,进行了手术。总死亡率为39.5%。手术死亡率为46.4%。根据所进行的分析和乌克兰卫生部医学统计中心的数据,出血性中风在男性中的发病率要高出许多倍,这很可能是由于生活方式更激进、对动脉高血压缺乏控制、不良习惯(饮酒和吸烟)所致。无论患者入院时的病情如何,死亡率最高的是老年患者(47%)和年轻患者(48%)。
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