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Clinical analysis on 149 old patients with craniocerebral injury
1Department of Neurosurgery, Jinshan Hospital, Medical Center of Fudan University, Shanghai 200540, China.
Objective:
To study the clinical features of craniocerebral 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 study. 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, intracerebral hematomas and subdural hematomas, and relatively fewer from epidural hematomas. The scores of Glasgow Coma Scale (GCS) were related closely to the prognosis 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.