96例老年性颅脑损伤患者手术后并发症的临床分析

目的 总结老年性颅脑损伤手术后并发症的防治。方法 对96例经手术治疗的老年性颅脑损伤中76例出现并发症的病人进行临床分析总结。结果 76例出现并发症的患者中死亡24例，病死率为31.7％，其中因肺部感染致呼吸衰竭11例，上消化道大出血4例。心功能衰竭3例，肾功能衰竭4例，再发血肿2例。结论 老年性急性颅脑损伤手术后死亡率较高，且易因并发症而死亡，要熟练掌握老年性急性颅脑损伤的临床特点，正确及时处理、积极防止并发症的发生。

Clinical Analysis of Postoperative Complications of 96 Aged Patients with Cerebral Impairments

Objective To sum up the precaution and treatment of the postoperative complications of the aged patients with cerebral impairments. Methods The clinical data of 96 aged patients with cerebral impairments were reviewed, 76 patients of which had postoperative complications. Results Among the 76 patients with postoperative complications, 24 cases died, and the death rate is 31 7%. 11 patients died of lung failure due to lung infection, 4 patients died of massive bleeding of upper digestive tract, 3 patients died of heart failure, 4 patients died of renal failure and the other 2 patients died of recurrent hematoma. Conclusions The postoperative death rate of the aged patients with acute cerebral impairment is fairly high, and the main death cause is postoperative complications, so we should treat this kind of patients in time and prevent the occurrence of complications.