摘要
目的:探讨老年重型颅脑损伤的特点与预后的影响因素。方法:对60岁以上格拉斯哥计分(GCS)<8分的颅脑损伤167例临床资料进行单因素、多因素分析。结果:老年颅脑损伤病人中,70.0%伤前伴有慢性疾病,25.7%同时合并其它脏器损伤,38.3%伤后出现各种并发症。老年颅脑损伤病人的预后受颅脑损伤的严重程度、原有的慢性疾病、合并损伤和伤后并发症等多因素综合影响。结论:老年颅脑损伤具有自身的特点。处理老年颅脑损伤病人时,应特别注意原有慢性疾病的处理和各种并发症的防治。
Objective： To explore the factors which affects the prognosis and characteristics of severe craniocerebral injury in elderly. Methods： A retroprospective study on the clinical data of 167 patients aged over 60 and GCS〈8 was carried out. Results：Of the 167 patients with craniocerebral injury,70.00% was accompanied with other chronic diseases before injury. Combined injuries were discovered in 25.7% of the cases and various post-traumatic complications followed in 38. 3% of the cases. The prognoses of aged patients with craniocerebral injury were influenceed by the multifactors such as the severity of head injury, pretraumatic chronic diseases,combined injuries, post-traumatic complications, and so on. Conclusion：There may be some specials in aged pa- tients with craniocerebral injury. The management of pre-traumatic chronic diseases and prevention/treatment of post-traumatic complications must been emphasized in the treatment of the aged patients with craniocerebral injury.
出处
《实用临床医学（江西）》
CAS
2006年第7期53-54,57,共3页
Practical Clinical Medicine
关键词
颅脑损伤
血肿
预后
老年人
eraniocerebral injury
hematoma
prognosis
elder
