老年性重度颅脑损伤临床特征及救治  

Severe Craniocerebral Injuries in Senile Patients: Clinical Features and Treatment

作　　者：徐善水[1] 肖安平[2] 

机构地区：[1]皖南医学院附属弋矶山医院神经外科,241001 [2]南京脑科医院神经外科

出　　处：《皖南医学院学报》2001年第2期105-106,共2页Journal of Wannan Medical College

摘　　要：目的　探讨老年性重度颅脑损伤的临床特点及临床救治。方法对我院１９９０年６月～１９９８年６月收治的１３６例老年人重度颅脑损伤患者的临床资料进行分析。结果根据ＧＯＳ预后评分判定治疗结果，恢复良好６４例（４７％），中残１５例（１１％），重残１１例（８％），植物状态０，死亡４６例（３３％）。结论老年患者伤前多有慢性心脑血管疾病，器官功能减弱，颅脑损伤的类型、病理和临床经过与其它年龄组有较明显差异。及时诊断和处理、加强内科疗法是改善预后的重要因素。Objective :To explore clinical features and treatment of severe craniocerebral injury in elder patients. Methods From 1990 to 1998, 136 cases of severe head injury in the hospitalized elder patients were retrospectively studied by using their clinical data. Results Based on Glasgow Outcome Scale(GOS), among the 136 cases, 64 (47% ) had a good recovers, 15 (11% ) of moderate disability, 1 (8% ) of grave disability, and 46 (33% ) died. No vegetality status was found. Conclusion Most elder patients with severe craniocerebral injury had chronic cardio-cerebral vascular dieases and organic bypofunction before trauma, therefore to compare with the patients of other age groups in types of craniocerebral injury, pathology and clinical manifestation were different significantly. A timely diagnosis and treatment and specifically intensive medical therapy were very important for a better prognosis.

关 键 词：颅脑损伤 老年人 临床特点 救治 

分 类 号：R651.15[医药卫生—外科学]