老年人重型颅脑损伤53例临床特点与诊治  

The clinical characteristics,diagnosis and treatment of severe craniocerebral injury in the elder

作　　者：马延山[1] 崔平[1] 张建国[2] 

机构地区：[1]北京市丰台区医院神经外科,100071 [2]北京天坛医院神经外科,100050

出　　处：《疑难病杂志》2002年第4期205-206,共2页Chinese Journal of Difficult and Complicated Cases

摘　　要：目的 探讨和掌握老年人重型颅脑损伤的临床特点以及诊治方法。方法 结合文献对53例老年重型颅脑损伤患者进行回顾性分析,总结临床特点与诊治经验。结果 治愈19例(35.9％),致残13例(24.5％),死亡21例(39.6％)。结论 老年重型颅脑损伤临床表现复杂多变,生理、组织结构特点有其独特之处,合并伤、并发症发生率高,救治困难,预后差。在救治过程中最大限度缩短确诊至治疗时间,重视原发病的治疗及并发症的防治是减少继发性脑损伤、提高生存率的关键。Objective To investigate the clinical characteristics, diagnosis and treatment of severe cranioce-rebral injury in the elder. Methods 53 elder patients with severe craniocerebral injury were analyzed retrospectively, of which clinical characteristics, diagnosis and therapeutic experiences were summarized. Results 19 cases were cured(35.9%) , 13 cases had disability(24.5%) ,and 21 cases were dead(39.6%) .Conclusion There are various clinical manifestations in elder patients with craniocerebral injure, who have different physiology and tissue structure. They have high incidence of complication, difficult therapeutic process and worse prognosis. During therapeutic process, it is very important trying to shorten the period of diagnosis, paying attention to the treatment of primary disease and the prevention of complication in order to decreasing secondary brian injury and raising survival rate.

关 键 词：颅脑损伤 老年人 临床特点 

分 类 号：R651.15[医药卫生—外科学]