67例老年人重型颅脑损伤的诊治分析

目的探讨老年人重型颅脑损伤的临床及救治特点。方法回顾性分析67例年龄>60岁重型颅脑损伤患者的临床特点及诊治情况,并对其并发症发生率和病死率与同期的年轻组进行比较分析。结果老年组并发症发生率为28.3%,年轻组并发症发生率为10.2%,2组并发症发生率差异非常明显(P<0.05);老年组病死率50.9%;年轻组病死率23.2%,2组病死率差异非常明显(P<0.05)。结论老年人重型颅脑损伤并发症多,病死率高,治疗上及时处理,积极诊治并处理颅脑损伤、合并伤及并发症,以期减少并发症,对降低病死率具有重要意义。

Objective To study the diagnose and treatment of the aged patients with cerebralimpairment. Methods To analyze the therapeutic effect of 67cases brain injury in old patients whose age were over 60 years old retrospectively, and compared the rate of complication and mortality with homochronous that of young group with cerebral impairment. Results The rate of complication in aged group was 27.1%, in young group was 46.2%, the mortality of young group was 21.2%. There was significant difference between two groups. Conclusion Aged patient with cerebral impairment has more complication and the mortality was increases. In order to improve the therapeutic effect of the brain injury of old patients, the associated injury and complication should be treated equally with the brain injury may significantly decreases the mortality.