112例老年人急性重型颅脑损伤的特征与救治分析

Clinical Characteristics and Treatment of Severe Craniocerebral Injury in the Aged

目的总结老年人重型颅脑损伤的临床特征与救治经验。方法对我院1993年12月至2004年12月收治的112例老年重型颅脑损伤患者进行回顾性分析。结果存活41例,死亡71例(死亡率63.4%)。35例获随访3个月～9年,17例恢复良好,轻残7例,中残6例,重残5例。结论老年重型颅脑损伤患者全身并发症多,死亡率高,预后相对较差。早期诊断与积极的综合治疗措施是救治老年重型颅脑损伤患者的重要方法。

Objective To explore the clinical characteristics and treatment of the severe craniocerebral injury in the aged. Method The clinical data of 112 old patients with severe craniocerebral injury treated in our department from December 1993 to Octomber 2004 were analyzed retrospectively. Results Of 112 patients, 41 survived and 71 died. The mortality was 63.4%. Of 35 patients who were followed up from 3 months to 9 year, 17 were recovered well, 7 mildly disabled, 6 moderately disabled and 5 severely disabled. Conclusions There are a lot of systemic complications, high mortality and bad prognosis in the aged with severe craniocerebral injury. The aged with severe craniocerebral injury will have satisfactory clinical outcome if they are correctly diagnosed and treated as early as possible.