Romodanov A P, Verkhogliadova T P, Polishchuk N E
Zh Vopr Neirokhir Im N N Burdenko. 1990 Jan-Feb(1):33-6.
Brain contusion in children becomes fatal only when the cerebrocranial trauma is very serious and coarse diffuse lesions occur in the whole brain. Foci of intracerebral hemorrhages are relatively rare in such cases. A special form of affection--diffuse involvement of the brain is often encountered in children and young persons. In patients of the older age groups a fatal outcome may occur not only in a severe but also in a relatively mild trauma; it is due to the trauma itself and also to secondary pathological reactions on the part of the cardiovascular and other systems of the organism. The contusion foci in elderly and old-aged individuals are characterized as a rule by extensive hemorrhages. The younger the patient, the more is the tendency towards manifestation of the regularities characteristic of the child organism, and, in contrast, the older the patient and the more pronounced the signs of premature advanced age, the higher is the frequency of complications and fatal outcomes in relatively mild cerebrocranial trauma.
儿童脑挫伤仅在颅脑创伤非常严重且全脑出现粗大弥漫性病变时才会致命。在这种情况下，脑内出血灶相对少见。一种特殊的病变形式——脑的弥漫性受累，在儿童和年轻人中经常遇到。在老年年龄组的患者中，不仅严重创伤会导致致命后果，相对较轻的创伤也可能导致；这不仅是由于创伤本身，还由于机体心血管和其他系统的继发病理反应。老年人和高龄个体的挫伤灶通常以广泛出血为特征。患者年龄越小，越倾向于表现出儿童机体特有的规律，相反，患者年龄越大，早衰迹象越明显，在相对较轻的颅脑创伤中并发症和致命后果的发生率就越高。
