Diseases of Circulatory System in National Sanatorium Oshima Seisho-en:II: Apoplexy-From January 1981 to March 1984
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概要
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It is said that "many diseases show apoplexy-like outbreak and morbid conditions in the aged". On the other hand, it can be said that cerebral blood vessel disorder is easy to be dealed with as mere dementia or senile decay. But in the meantime, the treatment and care of decay or abnormal action based on the cerebral blood vessel disorder is different from those of mere senile decay or dementia.In order to investigate the present state of such problems in National Sanatorium Oshima Seisho-en, investigations attaching importance to clinical progress were made on a total of 24 cases. Those cases were composed of 12 cases having cerebral blood vessel disorder found by the investigation of clinical record of 458 in-patients, and 12 cases whose basal disease of direct cause of death was regarded as apoplexy, among 33 cases who died from January, 1981 to the end of March, 1984.The items of 24 cases were 3 cases of cerebral hemorrhage (2 males and 1 female) and 21 cases of cerebral infarct (15 males and 6 females). And the items of 12 dead cases were 2 cases of cerebral hemorrhage and 10 cases of cerebral infarct.The number of cases increased as the patients became older. The mortality was 33% in their fifties, 33% in their seventies, 67% in their eighties, and 100% in their nineties. The percentage of cases whcse direct cause of death was apoplexy was 42.Among living 12 cases, the half existed over 5 years from the outbreak of illness. In 6 cases, their functions were recovered, and they were possible to keep the nearly same life as that of healthy person.The examinations of blood, serum lipid and kidney function did not show any specific result. The percentage of cases having abnormality in electrocardiogram was 60.On the other hand, in Hasegawa's simple intelligence test made on all patients of eighty years and over and patients requiring special attention of seventy years and over, 50% belonged to dementia and semidementia group. Five out of 6 cases in whom dysfunction in daily life remained, among the patients having anamnesis of apoplexy, belonged to dementia and semidementia group. When the signs of fit of apoplexy become fixed, neural and mental symptoms which are hard to be differentiated from Altzheimer type may be shown. Accordingly, it is considered that careful daily observation together with measurement of blood pressure and examination of electrocardiogram is important.
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