老年颅脑损伤324例临床研究

Clinical Research of 324 Aged Patients with Craniocerebral Injury

目的探讨老年颅脑损伤的临床治疗和预后。方法回顾性分析324例老年颅脑损伤病例的临床资料及预后的因素。结果老年颅脑损伤患者中41.2%伤前伴有慢性疾病,26.0%同时合并其他脏器损伤,29.0%伤后出现各种并发症。老年颅脑损伤患者的预后受颅,治愈180例(55.70%)、中残39例(11.00%)、重残11例(3.90%)、死亡44例(29.00%)。结论老年颅脑损伤具有自身的特点。处理老年颅脑损伤患者时,应特别注意原有慢性疾病的处理和各种并发症的防治。

Objective To explore the clinical feature and prognosis of craniocerebral injury in aged patients. Methods The clinical data of 324 aged patients with craniocerebral injury were retrospectively analysed, so as to summarize the clinical features and discuss the factors that affected the prognosis. Results In 324 patinets with craniocerebral injury ,41.2% was accompanied with other chronic diseases before injury, combined injuries were discovered in 26% of these cases and various post-traumatic compilations followed in 29% of them. Conclusion There are some specials in the aged patients with craniocerebral injury. The management of pre-traumatic chronic diseases and prevention/treatment of post-traumatic complications must be emphasized in the treatment of the aged patients with eranioeerebral injury.