CAJ | 학술논문

目的探讨老年人外伤性脑室内出血的临床特点和急诊治疗原则.方法对7例老年外伤性脑室内出血患者进行了回顾性分析,其中5例接受了手术治疗,2例进行了保守治疗.结果本组病例中包括原发性脑室出血3例；继发性脑室内出血4例.1例恢复良好,GOS评分5分；2例留有轻度残疾,GOS评分4分；1例留有重度残疾,GOS评分3分；1例昏迷,GOS评分2分；2例死亡,GOS评分1分.结论老年外伤性脑室内出血患者死亡率、致残率高.颅脑损伤的严重程度,合并损伤的处理以及原发基础性疾病是影响患者预后的重要因素.早期进行脑室外引流是有效的治疗手段.
목적탐토노년인외상성뇌실내출혈적림상특점화급진치료원칙.방법대7례노년외상성뇌실내출혈환자진행료회고성분석,기중5례접수료수술치료,2례진행료보수치료.결과본조병례중포괄원발성뇌실출혈3례；계발성뇌실내출혈4례.1례회복량호,GOS평분5분；2례류유경도잔질,GOS평분4분；1례류유중도잔질,GOS평분3분；1례혼미,GOS평분2분；2례사망,GOS평분1분.결론노년외상성뇌실내출혈환자사망솔、치잔솔고.로뇌손상적엄중정도,합병손상적처리이급원발기출성질병시영향환자예후적중요인소.조기진행뇌실외인류시유효적치료수단.
Objective To investigate the clinical features and emergency treatment principle of traumatic intraventricular hemorrhage (tIVH) in aged patients. Methods There were totally seven aged tIVH cases analyzed retrospectively, including five cases receiving surgical treatment and three cases treated with conservative therapy. Results There are three cases of primary intraventricular hemorrhage and four cases of secondary intraventricular hemorrhage in this group of patients. One case had a good recovery, GOS score of 5 points; two cases had slight disability, GOS score of 4 points; one case had severe disability, GOS score of 3 points; one cases of coma, GOS score of 2 points; two cases died, GOS score of 1 point. Conclusion Elderly traumatic intraventricular hemorrhage patients have a high mortality and morbidity. The severity of craniocerebral injury, the treatment of combined injury, and the primary basis diseases are the important factors affect their prognosis. Early ventricular drainage is an effective treatment.