CAJ | 학술논문

目的探讨老年颅脑损伤患者有效的救治方法.方法随机选取老年颅脑损伤患者58例,分析患者的临床表现、病因、临床诊断及救治资料,随访患者治疗转归及预后情况.结果本研究58例患者经手术治疗24例,非手术保守治疗34例;死亡4例(6.9％),存活54例(93.1％),其中康复效果较好40例(68.9％),残疾13例(中度10例,重度3例),植物生存1例.消化系统、呼吸系统、脑干伤、严重脑挫裂伤等重要器官并发症是导致患者死亡的主要原因.结论老年颅脑损伤患者病情较为复杂,临床表现多样,极易并发各种全身并发症,应及早进行CT检查诊断,严格掌握手术指征,及时采取正确的治疗方法,降低患者的病残率和病死率,提高患者生存质量.
목적 탐토노년로뇌손상환자유효적구치방법.방법 수궤선취노년로뇌손상환자58례,분석환자적림상표현、병인、림상진단급구치자료,수방환자치료전귀급예후정황.결과 본연구58례환자경수술치료24례,비수술보수치료34례;사망4례(6.9％),존활54례(93.1％),기중강복효과교호40례(68.9％),잔질13례(중도10례,중도3례),식물생존1례.소화계통、호흡계통、뇌간상、엄중뇌좌렬상등중요기관병발증시도치환자사망적주요원인.결론 노년로뇌손상환자병정교위복잡,림상표현다양,겁역병발각충전신병발증,응급조진행CT검사진단,엄격장악수술지정,급시채취정학적치료방법,강저환자적병잔솔화병사솔,제고환자생존질량.
Objective To investigate the effective treatment method for the elderly patients with craniocerebral injury.Methods Fifty-eight elder patients with craniocerebral injury were randomly selected as the research objects,the clinical presentation,etiology,clinical diagnosis and treatment data were analyzed,and the treatment outcome and prognosis were followed up.Results Among the 58 patients,24 cases received surgical treatment,34 cases received conservative nonsurgical treatment.Four cases died(6.9％),54 cases(93.1％) survived,40 cases had good rehabilitation effect,deformed in 13 cases(10 cases of moderate and severe in 3 cases),plant survival in 1 case.The important organs complications such as digestive system,respiratory system,the brain stem injury,severe cerebral contusion were the main causes of death.Conclusions The condition of elderly patients with craniocerebral injury is relatively complex,clinical manifestations are diverse,is easily complicated with a variety of systemic complications,CT examination should be made as early as possible,the surgical indications should be strictly grasped,adopt the right treatment in time,reduce the sick rate of patients,mortality rate,and improve patients quality of life.