老年人颅脑外伤的特殊性分析  

Features of craniocerebral trauma in elderly patients

作　　者：孙祥冬[1] 徐军[1] 胡军[1] 

机构地区：[1]复旦大学附属华东医院脑外科,上海200040

出　　处：《老年医学与保健》2007年第4期245-246,共2页Geriatrics & Health Care

摘　　要：目的探讨老年人颅脑外伤的特殊性。方法将227例病人分成中青年组(<60岁)和老年组(≥60岁)。回顾性分析各组中跌伤的百分比、车祸的百分比、亚急性和慢性硬膜下血肿的百分比及重型颅脑外伤(GCS≤8分)病人的死亡率。结果老年颅脑外伤病人跌伤的发生率为66.7%(P<0.0001),亚急性和慢性硬膜下血肿的发生率为49.46%(P<0.0001),重型颅脑外伤病人的死亡率为40%(P<0.05),都明显高于中青年组。结论跌伤是老年人颅脑外伤的主要原因,亚急性或慢性硬膜下血肿最常见于老年人。老年人重型颅脑外伤后死亡率高。Objective To explore features of craniocerebral trauma in elderly patients. Methods Percentages of family injury, injury from traffic accidents, and subacute or chronic subdural hematoma were analyzed retrospectively in 227 patients with craniocerebral trauma, who were assigned into the adult group （〈60 years） and the elderly group （≥60 years）. The mortality of severe craniocerebral trauma （GCS ≤ 8） of the two groups was also recorded. Results In the elderly group, the percentage of injury from falls was 66.7% （ P〈0.0001）; the percentage of subacute or chronic subdural hematoma was 49.46% （P〈0.0001）, and the mortality was 40% （P〈0.05）.These percentages were significantly higher than those in the adult group. Conclusions Falling injury is the main cause of craniocerebral trauma in the elderly. Subacute or chronic subdural hematoma is a common form of craniocerebral trauma in elderly patients. The mortality of severe craniocerebral trauma is relatively high in elderly patients.

关 键 词：老年人 颅脑外伤 特殊性 

分 类 号：R651.15[医药卫生—外科学]