老龄创伤217例患者的病理特点及处理方法

Characteristics of accidental injuries among elderly and strategy therefore: analysis of 217 cases

目的分析老龄创伤患者的病理特点并提出相应对策。方法分析2002年5月至2006年5月救治的217例65岁以上中度以上创伤救治中的特点,提出对策。结果217例中死亡34例(15.7%),存在一种以上合并症者113例(52.0%),治疗中并发症142例(65.4%),1年后仍有41例(18.9%)生活无法完全自理。结论老龄创伤,死亡率高、致残率高、多存在合并症、易发生并发症,应尽早进行确定性治疗,离床活动。

Objective To analyze the characteristics of accidental injuries among the elderly and relevant strategy. Methods The clinical data of 217 cases of accidental injuries, 116 males and 101 females, aged 70.5 (65～91), hospitalized in Beijing Geriatric Hospital from May 2002 to May 2006, were analyzed. Results 113 of the 217 patients (52.0%) had complication, among which 36 had 2 or more complications. And complication(s) occurred in 86 cases during treatment. 34 cases (15.7%) died. 142 cases (65.4%) had complications in treating. One year later, 41 cases (18.9%) still did not have the ability of self-care. Conclusion Accidental injury of the elderly has a high mortality and a high disability rate.Most of them have already or are prone to complication. Definitive treatments and early off-bed exercise are necessary.