老年人迟发性外伤性颅内血肿预后因素分析  

Analysis of Factors Related to Prognosis in the Aged Patients with Delayed Traumatic Intracranial Hematomas

作　　者：程谦[1,2] 陈谦学[1] 方好[1] 易智峰[1] 

机构地区：[1]武汉大学人民医院神经外科 [2]黄石市第二人民医院神经外科,湖北黄石435002

出　　处：《中国临床神经外科杂志》2009年第10期598-600,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨影响老年人迟发性外伤性颅内血肿患者预后的因素。方法对1995年4月至2008年10月收治的126例老年人外伤性迟发性颅内血肿患者的临床资料进行回顾性分析。结果老年人外伤性迟发性颅内血肿患者的预后受患者年龄、颅脑损伤的严重程度、治疗方法、原有的慢性疾病、合并症和并发症等多因素的影响。结论对老年人颅脑损伤患者应密切观察病情变化,选择正确的治疗方法及注意原有慢性疾病的处理和各种并发症的防治,是降低病残率和死亡率的关键。Objective To explore the factors related to the prognosis in the aged patients with delayed traumatic intracranial hematomas （DTICH）. Method The clinical data of 126 aged patients with DTICH treated in our department from April, 1995 to October, 2008 were analyzed retrospectively. Results The factors related to prognosis of the aged patients with DTICH included patients , age, the severity of craniocerebral injury, measures of treatment, former chronic diseases and complications. Conclusions The close observation of the change in the disease condition, active correct treatment, the management of the former chronic diseases and prevention and/or treatment of the post-traumatic complications are highly important to decrease in the disability rate and mortality in the patients with DTICH.

关 键 词：迟发性外伤性颅内血肿 预后 因素 老年人 

分 类 号：R651.15[医药卫生—外科学]