老年脑外伤的临床特点分析

发表时间：2014-06-06 浏览次数：1009次

引用：

关键词：

老年；脑外伤；临床特点

作者：

施小龙,左春生,朱前生

作者单位：

安徽省庐江县人民医院脑外科，安徽庐江 231500

出版年份：

2014

期刊页数：

3207-3208

收录者：

知网,万方

摘要：

目的：探讨老年脑外伤的临床特点。方法：选择30例脑外伤患者，根据年龄分为对照组与观察组，其中16例中青年脑外伤患者为对照组，14例老年脑外伤患者为观察组。比较两组患者的颅内血肿发生率、GCS评分、病死率和并发症发生率的差异。结果：观察组患者颅内血肿发生率为57.1%（8/14），显著高于对照组的37.5%（6/16）（P＜0.05）；观察组GCS评分低于对照组，两组比较差异有统计学意义（P＜0.05）；观察组病死率和并发症发生率均显著高于对照组（P＜0.05）。结论：老年脑外伤病情重，并发症多，病死率高，及时处理颅内情况和预防并发症的发生具有重要的临床意义。 Objective To investigate the clinical characteristics of the elderly brain trauma patients.Methods 30 cases of brain trauma were divided into control group and observation group according to the age,in which 16 cases of young patients with traumatic brain injury as the control group and 14 cases of elderly patients with traumatic brain injury as the observation group.The incidence of intracranial hematoma,GCS score，mortality and complication rates of two groups were compared.Results The incidence of intracranial hematoma of observation group was 57.1%,which was significantly higher than 37.5% of control group(P＜0.05).GCS score of observation group was significantly lower than control group(P＜0.05).The mortality and complication rates of observation group were significantly higher than control group(P＜0.05).Conclusion The elderly brain trauma patients are severe with high complication rates and mortality.Timely processing of intracranial conditions and prevent complications has important clinical significance.

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