老年人特重型颅脑损伤的救治分析

方法探讨老年人特重型颅脑损伤的临床特点及防治措施。方法对2003年8月至2叭3年10月41例老年性特重型颅脑损伤患者的临床资料进行回顾性分析。结果全组41例，死亡26例，存活15例，按格拉斯哥预后评分（GOS），其中恢复良好4倒、中残3例、重残6倒、植物生存2例。结论老年特重型颅脑损伤患者的病死率较高，预后极差，手术效果差，应根据具体病情慎重选择手术治疗。

Objective To study clinical characteristics and treatment of extra-severe cerebral injury for the elderly people. Methods 41 cases （ from August 2003 to October 2013 ） of elderly patients with extra-severe cerebral injury were analyzed retrospectively. Results There were 41 cases, in which 26 cases were dead and 15 cases survived, 4 cases had good recovery, 3 cases had medium-grade disability, 6 cases severe disability and 2 case vegatable state. Conclusions The mortality rate of extra-severe craniocerebral injury of elderly patients is very high, the prognosis and the surgical Conclusion are poor, surgical treatment should be carefully chosen.