老年人迟发性外伤性颅内血肿临床分析

目的探讨老年人迟发性外伤性颅内血肿（DTIH）的临床特点及诊治方法。方法对我院收治的60岁以上254例老年人颅脑损伤患者中132例出现迟发性颅内血肿的临床资料及影像学资料进行回顾性分析。结果迟发性外伤性颅内血肿多出现在伤后3d以内，本组伤后24h内出现29例（21．9％），在72h内出现18例（89、4％），在3～7d内出现14例（10．6％）。以老年人多见，本组占同期老年人颅脑损伤的51．9％。病死率高达30．3％。结论在临床工作中对老年人颅脑损伤患者，应密切观察病情变化，对迟发性颅内血肿要及时作出诊断，选择正确的治疗方法，是降低病残率和病死率的关键。

Clinic Study of Delayed Traumatic Intracerbral Hematoma in Old Patients

Objective To find the clinical features and treatments of delayed traumatic intracerbral hematoma (DTIH) in old patients.Methods A retrospective analysis was conduct of 132 DTIH patients from 254 patients with traumatic hydrocephalus.Results We found DTIH often appear in 3 days after traumatic hydrocephalus.There were 29 cases in 24 hours (21.9%);118 cases in 72 hours (89.4%);14cases in 3-7 days, (10.6%). In this study we found old patients had higher incidence of DTIH,it was (51.9%),and higher fatality rate (30.3%).Conclusions Detecting and treating earlier is important to DTIH,and it is the key to decrease the disability rate and fatality rate.