Objective To analyze the clinical characteristics and prognosis of elderly patients with acute brain swelling caused by cerebral contrecoup injury.Methods Craniocerebral trauma and its treatments of 51 patients with brain trauma complicated by acute brain swelling, admitted to our hospital from January 2009 to June 2010, were analyzed retrospectively.The patients were assessed by Glasgow outcome score ( GOS ) and prognoses compared between differently — aged patients after operation.Results There was significant difference in GOS between 3 age groups after operation ( P ＜0.01 ).Conclusion The fatality rate is high and prognoses are bad in elderly patients with acute brain swelling caused by cerebral contrecoup injury.Clinically, observation and treatment should be taken early, post - operation treatment should be timely, thus to improve patients' quality of life and survival.%目的 分析老年人脑对冲伤致急性脑肿胀的预后不良因素.方法 回顾性分析我院2009年1月-2010年6月收治的脑挫裂伤并发急性脑肿胀手术患者51例的颅脑损伤情况、治疗方法,对患者进行格拉斯哥预后评分(GOS)评级,比较不同年龄术后患者的预后.结果 3组年龄术后患者的GOS评级比较,差异有统计学意义(P＜0.01).结论 老年人脑挫裂伤致急性脑肿胀术后患者病死率高,预后不佳,临床上应早期观察、早期治疗,术后处理要全面及时,提高患者的生存质量及生存率.
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