关键词: 创伤性颅内血肿, 老年人, 手术, 颅脑损伤, 治疗

Abstract: Objective To evaluate the basic characteristics and treatment effects of elderly patients with acute traumatic intracranial hematoma,and analyze the factors related to the prognosis.Methods This study retrospectively analyzed the clinical data of 328 elderly patients with acute traumatic intracranial hematoma from January 2019 to December 2021.The Glasgow Outcome Scale is used to evaluate the clinical prognosis,and they are divided into a good prognosis group and a poor prognosis group according to the scores.Logistic regression is used to analyze independent predictors of poor prognosis.Results 328 patients with acute traumatic intracranial hematoma were enrolled in the study.Two hundred and eleven patients had a good prognosis,117 patients had a poor prognosis,and 75 of them died.One hundred and ten cases  were treated surgically,62 caseshad a good prognosis,and 48 cases  had a poor prognosis.Multivariate Logistic analysis showed that male,pupil abnormality,GCS≤8，compressed or closed cisternand ICU stay≥3 days were independent predictors of poor prognosis.Surgical treatment was an important factor that negatively predicts poor prognosis.Conclusion The prognosis of elderly patients with severe head injury is very poor.Male,pupils with abnormal light reflex,GCS≤8,and compressed or closed cisterns and longer ICU stay(≥3 days) are the risks of poor prognosis.Administrating operation for the elderly patients with intracranial hematoma who need surgery might improve the outcome.

Key words: traumatic intracranial hematoma, elderly, surgery, traumatic brain injury, treatment