老年重型颅脑损伤的救治与预后分析

目的 探讨老年重型颅脑损伤患者的救治方法和预后.方法 对68例老年重型颅脑损伤患者的临床资料及救治方法进行总结分析,讨论影响其预后的因素.结果 68例患者中,31例原有慢性疾病,23例合并其他脏器损伤,14例伤后出现各种并发症.老年颅脑损伤患者的预后受颅脑损伤的严重程度及救治措施、原有的慢性疾病、合并症和并发症等因素综合影响.结论 老年重型颅脑损伤患者具有自身的特点,积极纠正低血压、低血氧及治疗合并伤,并加强并发症的防治可改善预后、降低伤残率及病死率.

Analysis of Treatment and Prognosis in Senile Patients with Heavy Brain Injury

Objective To investigate treatment and prognosis of the senile patients with heavy brain injury. Methods The clinical data were summarized and analyzed in 68 senile patients with heavy brain injury, and the factors effected influencing the prognosis were discussed. Results Some 31 of 68 patients had chronic diseases before injury, 23 were complicated by injuries of other organs, and 20. 6% had various kinds of complications after injury. The prognosis of the senile patients with heavy brain injury were associated with the severity of craniocerebral injury, measures of treatment, original chronic diseases and complications. Conclusion The senile patients with heavy brain injury have their own characteristics; active correction of hypotension and hypoxemia, as well as prevention and treatment of complications can improve prognosis, and decrease morbidity rate and mortality rate.