Evolution of elderly patients with acute intracranial hematoma characteristics and treatment strategies.docVIP

 PAGE \* MERGEFORMAT 18 Evolution of elderly patients with acute intracranial hematoma characteristics and treatment strategies Of: Yang Tiancheng, Yan Yi, Zhong Dong, Cengfan Chuan, Wen Yu, Hu Mingliang, Xiexing An [Abstract] Objective To investigate the acute traumatic intracranial hematoma in the evolution of characteristics and the corresponding treatment strategies. Methods Retrospective analysis of 81 cases of elderly (gt; 60 years of acute traumatic intracranial hematoma in the clinical data, according to the severity of minutes into injury time of admission GCS 3 ~ 5 group, GCS 6 ~ 8 group and the GCS 9 ~ 13 group, 90 cases with a considerable degree of injury on admission of young patients (lt;35 years old for comparison, statistical analysis between groups with different clinical characteristics and treatment response, changes, including hematoma volume, the change in consciousness, the constituent ratio of the number of cases for surgery, after injury to live NICU (intensive care unit neural time, complication rate, mortality rate. results in patients with GCS 3 ~ 5 minutes, the elderly group and young group hematoma volume, the change in level of consciousness, no significant difference in mortality (Pgt; 0.05, the number of elderly patients than surgery patients and the NICU after injury was significantly lower than live with the young group (P lt;0.05, compared with the number of cases complications were significantly higher than the young group (P lt;0.05, GCS 6 ~ 8 points in patients, the elderly group and young group in the hematoma volume, the change in level of consciousness, the number of cases for surgery and injury than the NICU stay no significant difference in time (Pgt; 0.05 the elderly group than in the complications and mortality was significantly higher than the young group (P lt;0.05, GCS 9 ~ 13 minutes patients, elderly group hematoma volume on admission, 24 hours after injury, hematoma volume, hematoma 48 hours after injury