老年人外伤性颅内血肿56例临床分析

The Clinical Analysis of 56 Cases of Trauma-Related Encephalic Hematoma in Elderly

目的:探讨老年人颅内血肿患者的临床特点和治疗。方法:对56例60岁以上老年人外伤性颅内血肿临床资料进行回顾性分析。结果:恢复良好22例(39.2%),中度残废9例(16%),重度残废6例(10.7%),死亡19例(33.9%)。结论:通过比较提出手术治疗与保守治疗的适应征,指出防治并发症是降低老年颅内血肿患者死亡率的重要措施。

Objective：To probe into the clinical characteristics and therapies for the encephalic hematoma of those patients with agedness. Methods：The clinical data of 56 patients aged more tl^an 60 years were analyzed,whose hematomas were caused by trauma. Most of the hematomas were related to traffic accidents and the incidents of tumbling. There were 33 patients treated by a surgeon and 23 patients by conventional therapy. Results：According to Gasgow Coma scale,22 patients were well rehabilitated, which consisted of 39.2% of the total samples; 9 patients were moderately disabled, which consisted of 16%; 6 patients were crippled severely, which consisted of 10.7%; and 19 patients died, which consisted of 33.9%. Conclusion：We could know the indications by comparing those patients treated by a surgeon with those treated by conventional therapy. And we could point out that preventing complications is a very important strategy of reducing the mortality of those old patients who suffer from encephalic hematoma.