CAJ | 학술논문

目的探讨老年人颅脑损伤的相关影响因素和临床特点,以提高老年颅脑损伤的诊治水平. 方法总结2006年6月-2009年8月入院治疗的139例老年颅脑损伤患者,分析GCS、颅脑损伤类型、影响预后的主要并发症及临床治疗方法,探讨各种因素与预后的关系. 结果病死率与GCS、颅脑损伤类型、损伤后并发症密切相关.颅脑损伤表现为弥漫性脑肿胀、脑挫裂伤伴脑内多发性血肿、脑干损伤者病死率较高.颅脑损伤后伴有肺部感染、呼吸功能衰竭、上消化道出血或2～3种并发症同时发生时对预后产生不利影响. 结论颅脑损伤的程度、类型、并发症直接影响预后.老年人反应较为迟钝,主动做早期预见性检查和治疗可改善预后.
목적 탐토노년인로뇌손상적상관영향인소화림상특점,이제고노년로뇌손상적진치수평. 방법총결2006년6월-2009년8월입원치료적139례노년로뇌손상환자,분석GCS、로뇌손상류형、영향예후적주요병발증급림상치료방법,탐토각충인소여예후적관계. 결과병사솔여GCS、로뇌손상류형、손상후병발증밀절상관.로뇌손상표현위미만성뇌종창、뇌좌렬상반뇌내다발성혈종、뇌간손상자병사솔교고.로뇌손상후반유폐부감염、호흡공능쇠갈、상소화도출혈혹2～3충병발증동시발생시대예후산생불리영향. 결론로뇌손상적정도、류형、병발증직접영향예후.노년인반응교위지둔,주동주조기예견성검사화치료가개선예후.
Objective To discuss the relative factors and clinical features of the elderly patients with craniocerebral trauma so as to improve the level of diagnosis and treatment of craniocerebral trauma.Methods A retrospective study was conducted on 139 patients with craniocerebral trauma treated in our department from June 2006 to August 2009. The post-injury pathogenesis, Glasgow Coma Scale (GCS)score, injury type, major complications and treatment method were summarized and analyzed to find the correlation of various factors with prognosis. Results It was revealed that the mortality was closely related with GCS score, injury type and post-tranmatic complications. The lower GCS score induced higher mortality. The high mortality was manifested in patients with craniocerebral trauma who presented diffuse cerebral edema, contusion and laceration combined with multiple hematomas and brain stem injury. The prognosis was impacted by lung infection, failure of respiratory function, hemorrhage in upper digestive tract, or simultaneous 2-3 complications after craniocerebral trauma. Conclusions The prognosis is directly affected by injury severity, injury type and complications of craniocerebral trauma. The elderly patients demonstrate delayed reaction, which deserves active early examinations and treatment to improve the prognosis.