老年人弥漫性轴索损伤51例分析

Analysis of 51 cases of old patients with diffuse axonal injury

目的:分析老年人弥漫性轴索损伤的临床特点,提高对老年人弥漫性轴索损伤的认识。方法:对51例老年人弥漫性轴索损伤进行回顾性分析。结果:老年人弥漫性轴索损伤的典型症状为意识障碍;51例患者中,发生并发症35例(68.6%),死亡27例(52.9%),植物生存6例(11.8%),重残8例(15.7%),轻残4例(7.8%),恢复良好6例(11.8%)。结论:老年人弥漫性轴索损伤治疗困难、并发症多、致残率高、死亡率高、预后差。

Objective：To analyze the clinical features of old patients with diffuse axonal injury （DAI） and to improve the knowledge of old patients with DAI.Methods：51 cases of old patients with DAI were retrospectively analyzed.Results：Coma was the typical symptom of old patients with DAI. Among 51 cases, 35 cases（68.6%）suffered from complications; death was in 27 cases （52.9%）,plant survival in 6 cases （11.8%）,severe disability in 8 cases （15.7%）, mild disability in 4 cases （7.8%） ,good recovery in 6 cases （11.8%）.Conclusion：h is difficult to treat old patients with DAI and the disease has excessive complications, high mortality and poor prognosis.