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老年人轻度头部损伤的原因及后果。

The causes and consequences of minor head injury in the elderly.

作者信息

Roy C W, Pentland B, Miller J D

出版信息

Injury. 1986 Jul;17(4):220-3. doi: 10.1016/0020-1383(86)90222-6.

DOI:10.1016/0020-1383(86)90222-6
PMID:3770912
Abstract

The majority of patients admitted to hospital after head injury are young men and the characteristics of this group tend to dominate accounts of cranial injury. All patients of 65 years or more admitted to the Edinburgh Royal Infirmary neurotrauma unit over a 1-year period were studied and 146 suffering minor head injury were identified. In this group the sex incidence was equal and falls were responsible for two-thirds of the injuries. Alcohol was a contributory factor in over half of the male patients. The incidence of other noteworthy medical and social factors was high and the length of stay in hospital was twice that of younger persons. It is suggested that the elderly represent a group with special needs which might most effectively be met by an overnight observation ward served by neurosurgeons and specialists in geriatric medicine.

摘要

因头部受伤入院的患者大多是年轻男性,这一群体的特征往往主导着颅脑损伤的描述。对爱丁堡皇家医院神经创伤科在1年期间收治的所有65岁及以上患者进行了研究,确定了146例轻度头部受伤患者。在这个群体中,男女发病率相等,三分之二的损伤是由跌倒造成的。超过一半的男性患者饮酒是一个促成因素。其他值得注意的医学和社会因素的发生率很高,住院时间是年轻人的两倍。有人建议,老年人是一个有特殊需求的群体,由神经外科医生和老年医学专家提供服务的过夜观察病房可能最有效地满足这些需求。

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