老年人对冲性脑挫裂伤致急性脑肿胀预后因素分析  

Clinical Characteristics and Prognosis of Elderly Patients with Acute Brain Swelling Caused by Cerebral Contrecoup Injury

作　　者：贾丛林 张斌 管国平 

机构地区：[1]浙江省奉化市人民医院神经外科,315500

出　　处：《中国全科医学》2011年第18期2078-2079,共2页Chinese General Practice

摘　　要：目的分析老年人脑对冲伤致急性脑肿胀的预后不良因素。方法回顾性分析我院2009年1月—2010年6月收治的脑挫裂伤并发急性脑肿胀手术患者51例的颅脑损伤情况、治疗方法,对患者进行格拉斯哥预后评分(GOS)评级,比较不同年龄术后患者的预后。结果 3组年龄术后患者的GOS评级比较,差异有统计学意义(P<0.01)。结论老年人脑挫裂伤致急性脑肿胀术后患者病死率高,预后不佳,临床上应早期观察、早期治疗,术后处理要全面及时,提高患者的生存质量及生存率。Objective To analyze the clinical characteristics and prognosis of elderly patients with acute brain swelling caused by cerebral contrecoup injury.Methods Craniocerebral trauma and its treatments of 51 patients with brain trauma complicated by acute brain swelling,admitted to our hospital from January 2009 to June 2010,were analyzed retrospectively.The patients were assessed by Glasgow outcome score（GOS） and prognoses compared between differently-aged patients after operation.Results There was significant difference in GOS between 3 age groups after operation（P0.01）.Conclusion The fatality rate is high and prognoses are bad in elderly patients with acute brain swelling caused by cerebral contrecoup injury.Clinically,observation and treatment should be taken early,post-operation treatment should be timely,thus to improve patients′ quality of life and survival.

关 键 词：老年人 脑挫裂伤 急性脑肿胀 GOS评级 

分 类 号：R651.152[医药卫生—外科学]