Analysis of the related risk factors for progress of the elderly frontal lobe contusions
10.3760/cma.j.issn.1008-6706.2016.10.026
- VernacularTitle:老年人额叶挫裂伤病情进展恶化的危险因素分析
- Author:
Shicong ZHOU
;
Qiang JIA
;
Xianwen ZHOU
;
Zongbao WANG
;
Zengjun PAN
- Publication Type:Journal Article
- Keywords:
Craniocerebral injury;
The elderly;
Frontal lobe contusions;
Risk factors
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(10):1530-1533
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the related risk factors for progress of the elderly frontal lobe contusions. Methods The clinical data of 118 cases of elderly frontal lobe contusions from August 2012 to August 2014 were retrospectivelyanalyzed.118 patients were given conventional therapy after admission,received dynamic review of brain CT.The progress of patients were performed surgery of frontal coronary approach,removed contusion brain tissue by bone flap of single frontal or double the frontal lobe.No progress of patients were given conventional conservative treat-ment.Selected seven indicators combining with hypertension,oral aspirin,diabetes mellitus,contrecoup injury,Cushing response,sylvian cistern exist or not and subdural hematoma did a statistical analysis.Results This group of 118 patients,68 cases (57.6%)had progress and 50 cases (42.4%)had no progress.Statistical analysis showed that oral aspirin (P =0.006 ),sylvian cistern exist or not (P =0.001 ),Cushing response (P =0.025 )were independent risk factors of progress of the elderly frontal lobe contusions.Conclusion For elderly patients with fron-tal lobe contusion,oral aspirin,sylvian cistern exist or not,whether there is any Cushing response were risk factors for deterioration of disease progression.If one or more risk factors appeared,clinical need to prevent disease progression.
