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Clinical analysis on 149 old patients with craniocerebral injury

         

摘要

Objective: To study the clinical features of c raniocerebral injury (CI) in the aged. Methods: The data of 149 old patients with CI hospitalized in t he department from July 1991 to May 2000 were studied retrospectively in this st udy. The causes of injury, traumatic pathology, clinical manifestation and cause s of death were analyzed, too. Results: Automobiles were the main victim-makers, and falls we re the second. And there was no significant difference between the first two kin ds of victim-makers. The patients suffered mainly from cerebral contusion, intr acerebral hematomas and subdural hematomas, and relatively fewer from epidural h ematomas. The scores of Glasgow Coma Scale (GCS) were related closely to the pro gnosis when hospitalized or before surgical treatment. The total mortality rate was 37.5% in this study. The main cause of death was brain injury. Conclusions: The old patients with CI have a high mortality rat e. And the causes of injury, traumatic pathology and clinical manifestation are peculiar in the aged.

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