老年重型颅脑损伤50例分析

Analysis of Treatment and Prognosis in 50 Cases of Senile Patients with Heavy Brain Injury

目的:探讨老年重型颅脑损伤的救治情况。方法:老年重型颅脑外伤伤情较重,并发症及合并症多,病死率高。本文通过对50例老年重型颅脑损伤患者临床资料和救治方法进行分析,探讨老年重型颅脑损伤的临床特点、治疗方法及影响其预后的主要因素。结果:根据GCS评分判定疗效:存活40例,经3个月至1年随访,恢复良好20例,中残10例,重残8例,植物状态生存(PVS)2例;死亡10例,病死率20.0%;手术与非手术治疗的两组统计学数据具有可比性。结论:老年重型颅脑损伤的救治关键在于快速和准确,只有对病情的判断准确和实施科学的救治,才能改善预后,减少病死率。

Objective： To explore the treatment for craniocerebral injury in senile patients.Methods：Craniocerebral injury in senile patients is severe and with more comorbidity and complication, which cause a high death rate.Based on the analysis of clinical data and treatment methods of 50 cases of cranioeerebral injury in senile patients, this paper discusses clinical characteristics, treatment methods and affected factors for prognosis of this injury.Results：According to GCS justification, 40 survives, the follow-up after three months to one year, 20 show good recovery, 10 are moderately disabled, and 8 are severely disabled, 2 are in persistent vegetative state （PVS）; while 10 died, which makes the death rate 20%. The statistical data, which is based on the operation group and the non-operation group, is comparable.Conclusions：Instance and accuracy is the core for treating eraniocerebral injury in senile patients, only by accurate judgement and scientific treatment can we improve prognosis and reduce mortality.