老年重型颅脑损伤的特点与预后分析  

An analysis of prognosis and characteristics of severe craniocerebral injury in elderly

作　　者：潘先文[1] 赵云飞[2] 刘策刚[1] 王弘乐[1] 

机构地区：[1]皖南医学院弋矶山医院神经外科,芜湖241001 [2]安徽省宁国市人民医院脑外科,242100

出　　处：《实用老年医学》2000年第5期248-250,共3页Practical Geriatrics

摘　　要：目的　探讨老年重型颅脑损伤的特点与预后的影响因素。　 方法 　对 6 0岁以上格拉斯哥计分(GCS) <8分的颅脑损伤 36 8例临床资料进行单因素、多因素分析。　 结果 　原发性脑干伤、脑挫伤 2 4 2 % ,颅内血肿 75 8% ,其中硬膜下、脑内血肿 72 8% ,硬膜外血肿 8 6 %。总生存率 41 3%。不同的GCS、不同的血肿类型间生存率比较有非常显著差异 (P <0 0 1) ,有无老年性疾病各组间的生存率均有明显差异 (P <0 0 5 )。　 结论　老年重型颅脑损伤具有原发脑干伤、脑挫裂伤和硬膜外血肿少 ,硬膜下、脑内血肿多 ,易发生多发性血肿和迟发性血肿 ,死亡率高 ,合并伤多的特点。GCS。Objective To explore the factors which affected the prognosis and characteristics of severe craniocerebral injury in elderly. Methods We made a retroprospective study on the clinical data in 368 patients aged over 60 and GCS<8. Results Among these patients,primary brainstem injury and cerebral contusion occupied 24 2%,intracranial hematoma 75 8%,subdural hematoma and intracerbral hematoma 72 8% and extradural hematoma 8 6%.The patients survival rate was 41 3%.There were significantly differente survival rates in patients with distinguished GCS and hematomas ( P <0 01). So were in patients with and without elderly diseases( P <0 05). Conclusions Less primary brainstem,cerebral contusion and extradural hematoma,and more subderal hematoma and intracerebral hematoma are present in old patiints with severe craniocerebral trauma.They are lible to multiple and late onset hematomas,which display high mortality and more complications GCS and elderly disorder are the major factors that affect the prognosis of severe craniocerebral traumas.

关 键 词：颅脑损伤 血肿 预后 老年人 

分 类 号：R651.150.7[医药卫生—外科学]