世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
10期
10-11
,共2页
蒋为%董韬%李京臣%丁绍峰
蔣為%董韜%李京臣%丁紹峰
장위%동도%리경신%정소봉
老年外伤性蛛网膜下腔出血%损伤机制%预后%影响因素
老年外傷性蛛網膜下腔齣血%損傷機製%預後%影響因素
노년외상성주망막하강출혈%손상궤제%예후%영향인소
Traumatic subarachnoid hemorrhage in the elderly%Mechanism of injury%Prognosis%Influencing factor
目的：研究探讨老年外伤性蛛网膜下腔出血的损伤机制和预后影响因素。方法：选取我院收治的老年颅脑损伤患者110例作为研究对象，所有患者在入院时即给予CT等影像学手段进行检查，根据患者是否合并有外伤性蛛网膜下腔出血的情况将其分为两组，其中50例患者有外伤性蛛网膜下腔出血，占45.5%。分别比较有外伤性蛛网膜下腔出血和没有外伤性蛛网膜下腔出血的两组患者的预后，同时对老年外伤性蛛网膜下腔出血的患者进行CT评分，观察其脑损伤类型，并分析其损伤机制和影响因素。结果：比较两组患者的治疗效果，可见有外伤性蛛网膜下腔出血和没有外伤性蛛网膜下腔出血的患者恢复良好、轻度残疾、中重度残疾所占比例之间的比较无显著差异，但有外伤性蛛网膜下腔出血的患者不良预后（植物生存和死亡）发生率显著高于没有外伤性蛛网膜下腔出血的患者，比较有统计学差异（P<0.05）。结论：老年外伤性蛛网膜下腔出血常见于急性颅脑损伤的患者中，且颅脑损伤程度越严重，外伤性蛛网膜下腔出血的发生率越高，预后也越差。
目的：研究探討老年外傷性蛛網膜下腔齣血的損傷機製和預後影響因素。方法：選取我院收治的老年顱腦損傷患者110例作為研究對象，所有患者在入院時即給予CT等影像學手段進行檢查，根據患者是否閤併有外傷性蛛網膜下腔齣血的情況將其分為兩組，其中50例患者有外傷性蛛網膜下腔齣血，佔45.5%。分彆比較有外傷性蛛網膜下腔齣血和沒有外傷性蛛網膜下腔齣血的兩組患者的預後，同時對老年外傷性蛛網膜下腔齣血的患者進行CT評分，觀察其腦損傷類型，併分析其損傷機製和影響因素。結果：比較兩組患者的治療效果，可見有外傷性蛛網膜下腔齣血和沒有外傷性蛛網膜下腔齣血的患者恢複良好、輕度殘疾、中重度殘疾所佔比例之間的比較無顯著差異，但有外傷性蛛網膜下腔齣血的患者不良預後（植物生存和死亡）髮生率顯著高于沒有外傷性蛛網膜下腔齣血的患者，比較有統計學差異（P<0.05）。結論：老年外傷性蛛網膜下腔齣血常見于急性顱腦損傷的患者中，且顱腦損傷程度越嚴重，外傷性蛛網膜下腔齣血的髮生率越高，預後也越差。
목적：연구탐토노년외상성주망막하강출혈적손상궤제화예후영향인소。방법：선취아원수치적노년로뇌손상환자110례작위연구대상，소유환자재입원시즉급여CT등영상학수단진행검사，근거환자시부합병유외상성주망막하강출혈적정황장기분위량조，기중50례환자유외상성주망막하강출혈，점45.5%。분별비교유외상성주망막하강출혈화몰유외상성주망막하강출혈적량조환자적예후，동시대노년외상성주망막하강출혈적환자진행CT평분，관찰기뇌손상류형，병분석기손상궤제화영향인소。결과：비교량조환자적치료효과，가견유외상성주망막하강출혈화몰유외상성주망막하강출혈적환자회복량호、경도잔질、중중도잔질소점비례지간적비교무현저차이，단유외상성주망막하강출혈적환자불량예후（식물생존화사망）발생솔현저고우몰유외상성주망막하강출혈적환자，비교유통계학차이（P<0.05）。결론：노년외상성주망막하강출혈상견우급성로뇌손상적환자중，차로뇌손상정도월엄중，외상성주망막하강출혈적발생솔월고，예후야월차。
Objective: to study the old age injury mechanism of traumatic subarachnoid hemorrhage and prognosis influencing factor. Methods:of 110 cases of craniocerebral injury in our hospital as the object of study, all patients on admission to offer check imaging methods such as CT, depending on whether a patient with traumatic subarachnoid hemorrhage will be divided in-to two groups, one in 50 patients with traumatic subarachnoid hemorrhage, 45. 5%. Respectively compared with traumatic sub-arachnoid hemorrhage and without traumatic subarachnoid hemorrhage by the prognosis of patients, and elderly patients with traumatic subarachnoid hemorrhage CT score, observe the type of brain damage, and analyzes its injury mechanism and influenc-ing factors. Results:compared two group patients of treatment effect, visible has trauma sex Cobweb film xià cavity bleeding and no trauma sex Cobweb film xià cavity bleeding of patients recovery good, and mild disability, and in the heavy degrees dis-ability by accounted for proportions zhī jiān of copared no significantly differences, but has trauma sex Cobweb film xià cavity bleeding of patients bad prognosis (plant survival and death) occurred rate significantly above no trauma sex Cobweb film xià cavity bleeding of patients, compared has statistics differences (P<0. 05) . Conclusions:the traumatic subarachnoid hemor-rhage are common in acute brain injury patients, more serious and traumatic brain injury, traumatic subarachnoid hemorrhage incidence is higher, the prognosis is worse.
