老年人重型颅脑损伤的特点及治疗

Clinical Characteristics of Severe Head Injuries in Senile Persons and Their Treatment

报告７７例老年人重型颅脑损伤的临床特点及诊治结果：Ｇｌａｓｇｏｗ昏迷计分均在８分以下，４９例（６３．６４％）合并颅内血肿。全组均有不同程度意识障碍及局灶神经征，癫发生率１８．１８％。对广泛性脑挫裂伤、脑肿胀和颅内血肿４９例采用手术治疗，余２８例脑挫伤较局限，行保守治疗。４５例（５８．４５％）恢复良好，４例（５．１９％）重残，２８例（３６．３６％）死亡。

Clinical charactcr istics and outcomes of 77 older patients with severe head injuries are presented.The Clasgow coma scales of theses patients were all less than 8.Among them 53 cases were males and 24 cases females showing a clearmale predominance.The total of 49cases(63. 64%)were complicated with intracranial hematoma. All patients showed different degree of unconsciousness and focal neurological defects.The incidence of epileptic seizures was 18. 18%. Operations were performed for 49 patients with diffuse brain contusion,swelling, or intracranial hematomas. Conservative treatment was used in 28 cases who suffered from pure brain contusion 45 patients(58.45%)showed a good recovery, 4 patients became severely disability, and 28 patients died, with a mortality rate of 36.36%. The result of treatment in this series seem satisfactory.