KẾT QUẢ ĐIỀU TRỊ MÁU TỤ TRONG NÃO DO CHẤN THƯƠNG Ở NGƯỜI CAO TUỔI

Abstract

Objectives: To assess the rate, clinical symptoms, computed tomography scans and treatment outcomes of traumatic parenchymal hematomas in the elderly. Methods: A descriptive cross-sectional study was conducted among 100 elderly patients suffered from traumatic parenchymal hematomas treated at the Neuro-Spine Surgery Department of Thai Binh General Hospital between April 2021 and December 2022 Results: 100 geriatric patients with traumatic parenchymal hematomas including 76 males (76%), 24 females (24%). The average age was (70.20 ± 8.49) years old, (from 60 to 93). Traffic accidents were the most common cause (51%); followed by falls (46%), occupational accidents (3%). Mild patients (GCS: 13-15 points) accounted for 86%,the moderate (GCS: 9-12 points) added up to 10%, and the severe (GCS: 3-8 points) remained 4.0%. Associated injuries included acute subdural hematoma (48%), subarachnoid hemorrhage (48%). 21% had 2 hematomas. The majority of patients were treated by nonsurgical therapy (91%), only 4% received intensive resuscitation and 5% had surgical evacuation of intracerebral hematomas. Hospital discharge conditions were  good (75%), fair (13%), moderate (3%), vegetative state and death accounted for (9%). Conclusion: Traumatic parenchymal hematomas in the elderly occur more often in males than in females, the two main causes are traffic accidents and falls. Nonsurgical therapy plays a key role. The rate of vegetative survival and death is 9%.