老年人外伤性颅内血肿的临床特点及治疗  

Clinical feature and treatment of traumatic intracranial hematomas in old-aged patients.

作　　者：何启[1] 程国雄[1] 蔡昭明[2] 

机构地区：[1]广州医学院第一附属医院神经外科,510120 [2]广州医学院神经科学研究所

出　　处：《中国神经精神疾病杂志》1997年第3期152-154,共3页Chinese Journal of Nervous and Mental Diseases

摘　　要：目的　探讨老年人外伤性颅内血肿的治疗。　　方法　分析 60岁以上老年人外伤性颅内血肿 1 1 7例临床资料。致伤原因多为跌伤及交通事故 ,大多为对冲部位血肿 ( 55 6% )及多发血肿( 2 5 6% ) ,手术治疗 87例 ,非手术治疗 3 0例。　　结果　按GOS评定 :良好 46 1 % ,中残 1 2 8% ,重残 4 3 % ,植物生存 2 6% ,死亡 3 4 2 %。　　结论　指出意识状态、是否合并脑疝、颅内血肿大小和部位等对预后有直接影响 ,提出颅内血肿手术与非手术治疗的适应证 。Objective Investigation of the clinical feature and treatment of traumatic intracranial hematomas in old aged patients Methods 117 cases of traumatic intracranial hematomas above 60 year old were reviewed Most of the patients were due to falls and motor vehicle accidents 55 6% of intracranial hematomas were countercoup hematoma and 25 6% mixed type 87 patients were treated surgically and 30 patients underwent non operative treatment Results Among 117 cases is: good recovery 46 1%, mild disability 12 8%, severe disability 4 3%, vegetative state 2 6% and dead 34 2% Conclusions The factors, such as depth of coma, with or without brain herniation, size and location of hematoma, are closely related to the prognosis of patients The indication of the surgical and no surgical treatments were proposed in this paper Critical care for the patients in preventing complication is important to decrease the mortality

关 键 词：老年人 颅脑外伤 颅内血肿 临床特点 外科手术 

分 类 号：R651.15[医药卫生—外科学]