老年人弥漫性轴索损伤临床探讨(附36例报告)  

Clinical study on senile diffuse axonal injury: report of 36 cases

作　　者：温剑峰[1] 钱锁开 杨琦帆[1] 

机构地区：[1]江西省南昌市解放军第九十四医院神经外科,330021

出　　处：《中华神经医学杂志》2005年第3期275-276,共2页Chinese Journal of Neuromedicine

摘　　要：目的探讨弥漫性脑轴索损伤(DAI)老年患者的发病率及临床特点,为临床诊治老年DAI提供依据.方法对住院治疗36例老年患者临床特点、影像学特征及治疗加以分析.结果患者于伤后3～24个月根据GOS评估法判定疗效:恢复良好4例,轻残8例,重残5例,植物生存5例,死亡14例.结论老年人DAI发病率高,昏迷时间长、伤情重、伤情复杂,合并伤及并发症多,死亡率高、救治难度大,但通过积极合理治疗,是能够提高患者生存率的.Objective To study the incidence and clinical characteristics of senile diffuse axonal injury (DAI) in order to provide some evidence for curing senile DAI in clinic. Methods 36 DAI cases in the old were analyzed in regards to their clinical characteristics, imaging features and therapeutic strategies. Results According to Glasgow Outcome Scale (GOS), the prognosis of the patients was evaluated within 3~24 months after injury: Grade Ⅴ in 4 cases, Grade Ⅳ in 8 cases, Grade Ⅲ in 5 cases, Grade Ⅱin 5 cases, GradeⅠin 14 cases. The success rate was 51% and the death rate 49%. Conclusion Although the senile DAI have the characteristics such as high incidence, long coma duration, serious and complex state, excessive complications and syndromes, high mortality and difficult to bring back to life, the survival rate can still be improved by means of active and reasonable therapies.

关 键 词：弥漫性轴索损伤 老年人 临床探讨 临床特点 老年患者 脑轴索损伤 影像学特征 住院治疗 临床诊治 植物生存 昏迷时间 合理治疗 发病率 DAI 评估法 GOS 并发症 合并伤 死亡率 生存率 伤情 

分 类 号：R651[医药卫生—外科学]