老年人颅脑损伤的诊断与治疗方法探讨  

Diagnosis and treatment for brain injury in elderly patients

作　　者：王银国[1] 李泳 王艳芳[1] 彭李青 

机构地区：[1]深圳市坪山新区坑梓人民医院,广东深圳518122 [2]深圳市龙岗区中心医院影像科,广东深圳518116

出　　处：《海南医学》2013年第5期666-667,共2页Hainan Medical Journal

基　　金：深圳市龙岗区科技局科研基金资助项目(编号:2011119)

摘　　要：目的探讨老年人颅脑损伤的诊断与治疗方法。方法选择老年颅脑损伤患者45例为观察组,50例老年颅脑损伤患者为对照组。所有患者均接受CT检查,在常规处理的基础上,观察组患者静脉滴注神经节苷脂,对照组患者静脉滴注胞磷胆碱。结果观察组患者中,CT图像显示发生颅骨骨折36例,硬膜外血肿19例,硬膜下血肿8例,脑组织挫裂伤13例,脑内血肿7例,脑白质剪切伤5例。对照组患者中,CT图像显示颅骨骨折39例,硬膜外血肿18例,硬膜下血肿9例,脑组织挫裂伤14例,脑内血肿7例,脑白质剪切伤3例。观察组患者的治疗有效率为82.22%(37/45),显著高于对照组的64.00%(32/50),差异具有统计学意义(P<0.05)。结论在老年颅脑损伤的诊断中,CT有重要的价值,应用神经节苷脂可以提高患者治疗效果。Objective To investigate the diagnosis and treatment for brain injury in the elderly patients. Methods Forty-five elderly patients with traumatic brain injury wereenrolled as the observation group, 50 elderly patients with traumatic brain injury as a control group. All patients underwent CT examination. On the basis of con-ventional treatment, the observation group were treated with ganglioside, the control were treated with citicoline. Results In the observation group, CT detected 36 cases with skull fracture, 19 cases with epidural hematoma, 8 cas-es with subdural hematoma, 13 cases with brain tissue contusion, 7 cases with intracerebral hematoma, 5 cases with ce-rebral white matter shear injury. In the control group, CT detected 39 cases with skull fracture, 18 cases with epidural hematoma, 9 cases with subdural hematoma, 14 cases with brain tissue contusion, 7 cases with intracerebral hemato-ma, 3 cases with cerebral white matter shear injury. The effective rate [82.22% （37/45）] of the observation group were significantly higher than that [64.00%（32/50）] in the control group （P〈0.05）. Condusion CT has high value in the diagnosis of the elderly brain injury, and ganglioside is more effective to treat brain injury in the elderly patients.

关 键 词：颅脑损伤 老年 CT 神经节苷脂 

分 类 号：R651.15[医药卫生—外科学]