摘要
目的探讨老年人与青壮年外伤后迟发脑内血肿的临床特点。方法回顾性分析我院近四年来收治的56例迟发脑内血肿,按年龄分为15~50岁青壮年组,51~86岁老年组,观察对比两组人院时GCS、迟发脑内血肿的时间以及病死率。结果老年组的GCS与是否发病无显著性差异 (P>0.05),两组间迟发脑内血肿的时间无显著性差异(P>0.05),老年组死亡率高达56.25%,青壮年组死亡率为27.5%。结论(1)老年人颅脑损伤后入院时GCS不能作为判断其是否发生迟发脑内血肿的依据;(2)青、老年人颅脑损伤后出现迟发脑内血肿的时间无明显差别;(3)老年人外伤性迟发脑内血肿的病死亡率较高。
Objective To study the clinical character of delayed traumatic intracerebral hematoma of the old and the young. Methods Analyze 56 cases of delayed traumatic intracerebral hematoma in my hospital within recent four years retrospectively. Young patients at the age of 15-50 group and old patients at the age of 51-86 group were classified. Observe and compare the GCS, outbreak time of delayed traumatic intracerebral hematoma and death rate of these two groups. Results The GCS of the old patient group had no significant difference (p〉0.05) from outbreak of delayed traumatic intracerebral hematoma. There is no significant difference (p〉0.05) of outbreak time of delayed intracerebral hematoma between two groups. The death rate of the old patient group was 56.25% and the young patient group 27.25%. Conclusion (1) GCS cannot be used as the evidence to judge whether delayed traumatic intracerebral hematoma will break out or not when old patients go to hospital due to cerebral injury. (2)There is no significant difference of out- break time of delayed traumatic intracerebral hematoma between the young and the old after cerebral injury. (3) The death rate of old patients with delayed traumatic intracerebral hematoma is relatively high.
出处
《中华神经医学杂志》
CAS
CSCD
2006年第4期421-422,共2页
Chinese Journal of Neuromedicine
关键词
老年
青壮年
血肿
对比
The old
The young
Hematoma
Contradistinctive