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1995～1996年,我们采用中西医结合治疗老年外伤性颅内血肿32例(中西组),并随机取同期收住院非手术治疗的老年外伤性颅内血肿37例作对照观察(对照组).现将观察结果报告如下.1 一般资料所有患者均经CT确诊.中西组32例,男20例,女12例;年龄60～70岁,平均年龄63.3岁;致伤原因:交通事故16例,跌伤9例,击伤7例;受伤机制:减速伤24例,加速伤8例;头颅受伤部位:枕部14例,颞部10例,顶部8例;血肿部位:脑内16例,硬膜下9例,硬膜外7例;昏迷13例(其中深昏迷1例,中度昏迷2例,浅昏迷4例,神志蒙眬6例);头痛32例;偏瘫13例.对照组37例,男22例,女15例;年龄60～70岁,平均年龄62.6岁;致伤原因:交通事故19例,跌伤12例,击伤6例;受伤机制:减速伤28例,加速伤9例;头颅受伤部位:枕部15例,颞部12例,顶部10例;血肿部位:颅内18例,硬膜下12例,硬膜外7例;昏迷15例(其中深昏为2例,中度昏迷3例,浅昏迷4例,神志蒙眬6例);头痛37例;偏瘫9例.全部病例均有不同程度的挫擦伤或裂伤.
From 1995 to 1996, we treated 32 elderly patients with traumatic intracranial hematomas by combining traditional Chinese and western medicine (control group), and randomly selected 37 patients with senile traumatic intracranial hematomas who were treated non-surgically in the same period (control group). The results are reported as follows.1 General information All patients were diagnosed by CT.Chinese and Western 32 cases, 20 males and 12 females; aged 60 to 70 years, mean age 63.3 years; cause of injury: traffic accidents in 16 cases, 9 cases of fall injury and 7 cases of injury; Injury mechanism: 24 cases of deceleration injury and 8 cases of accelerated injury; 14 cases of head injury, 10 cases of occipital, 10 cases of top, 8 cases of hematoma, 16 cases of intracerebral hematoma, hard 9 cases under epigastrium, 7 cases under epidural membrane, 13 cases with coma (including 1 case of deep coma, 2 cases of moderate coma, 4 cases of super coma and 6 cases of delirium), 32 cases of headache, 13 cases of hemiplegia, 37 cases of control group Cases, 22 males and 15 females; aged 60 to 70 years, mean age 62.6 years; cause of injury: traffic accident in 19 cases, down injury in 12 cases, wounded in 6 cases; injury mechanism: deceleration injury in 28 cases, accelerated injury 9 cases; head injury: 15 cases of occipital, temporal 12 cases, top 10 cases; hematoma site: intracranial 18 cases, 12 cases of subdural, epidural 7 cases; coma 15 cases For example, moderate coma in 3 cases, shallow coma in 4 cases, conscious Meng 眬 6 cases) ; Headache in 37 cases; hemiplegia in 9. All cases have varying degrees of bruising or laceration.