摘要
目的分析老年重型颅脑外伤患者的临床资料,总结影响老年人重型颅脑外伤预后的因素。方法回顾性分析73例急性重型颅脑外伤老年患者的临床资料,比较生存组及死亡组中各种因素的构成比,确定其对预后的影响。统计方法使用t检验、χ2检验及Logistic回归分析。结果本组生存30例,其中恢复良好5例,轻中残9例,重残13例,植物生存3例;死亡43例,死亡率为58.9%。结论老年重型颅脑外伤(TBI)患者死亡率高,预后差。年龄是影响预后的独立因素;GCS评分、瞳孔对光反射、原发性昏迷时间等指标是判断预后的重要因素。
Objective To summarize the factors that affect the outcome in elderly patients with severe traumatic brain injury（TBI） by analyzing the clinical data of the patients. Methods Clinical data of 75 elderly patients with severe TBI were analyzed retrospectively. After grouping the patients into survival and nonsurvival, proportion of all kinds of factors are compared between subgroups so as to determine the contribution to mortality of all the factors. T test, Chi - square test, and Logistic regression are used. Rusults Of 30 survived, 5 were with good recovery, 9 moderately disabled, 13 severely disabled, 3 was in a persistent vegetative state and 43 died. The mortality was 58. 9%. Conclusions Elderly patients with severe traumatic brain injury have a high mortality and poor outcome. Age is the indepent factor. Prognosis of elderly patients also determined by GCS, duration of loss of sense and brain hernia, etc.
出处
《临床神经外科杂志》
CAS
2005年第4期147-150,共4页
Journal of Clinical Neurosurgery
关键词
重型颅脑外伤
老年人
预后
severe traumatic brain injury
elderly patients
prognosis
