Relative factors for and early treatment of craniocerebral trauma in the elderly
10.3760/cma.j.issn.1001-8050.2010.09.010
- VernacularTitle:老年人颅脑损伤预后的相关影响因素分析
- Author:
Tianlang TONG
;
Ming LIU
;
Shen LIU
;
Siping HUANG
- Publication Type:Journal Article
- Keywords:
Craniocerebral trauma;
Prognosis;
Aged
- From:
Chinese Journal of Trauma
2010;26(9):805-808
- CountryChina
- Language:Chinese
-
Abstract:
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.
