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目的对老年重型颅脑损伤患者临床表现进行分析,并提出救治方案。方法回顾分析2012年6月—2016年6月收治的146例重型颅脑损伤患者的临床资料,对患者预后情况、并发症情况、死亡原因进行统计分析。结果 146例患者采用保守治疗、手术治疗的分别为86、60例,4个月后病死20例,植物状态3例,均伴有不同程度的心功能、肾功能、肝功能等异常以及其他应激性溃疡或肺部感染等并发症问题。结论老年重型颅脑损伤患者临床治疗中有其特殊性,需给予有效的救治措施,使并发症、病残率降低,提升预后效果。
Objective To analyze the clinical manifestations of elderly patients with severe craniocerebral injury and to propose the treatment plan. Methods The clinical data of 146 patients with severe traumatic brain injury admitted from June 2012 to June 2016 were retrospectively analyzed. The prognosis, complications and causes of death were analyzed statistically. Results 146 patients were treated conservatively, 86,60 cases were treated, 20 cases died after 4 months, and 3 cases were in plant state. All of them were associated with abnormal cardiac function, renal function, liver function and other abnormalities Peptic ulcer or pulmonary complications such as complications. Conclusion The clinical treatment of elderly patients with severe traumatic brain injury has its own particularity. Effective treatment measures should be given to reduce the complications and morbidity and improve the prognosis.