고령 두부외상 환자의 임상적 특성 = CLINICAL CHARACTERISTICS OF HEAD INJURY IN THE AGED

다국어 초록 (Multilingual Abstract)

We present a retrospective study on the characteristics of head injury in the aged (more than 60 years of age). We selected 107 patients who visited the Chung Ang Gil Hospital due to head injury from January 1994 to December 1994. For comparison, data from 598 patients who were less than 60 years of age during same study period was used. In the aged, pedestrian traffic accident, slip or fall, and unknown trauma were common as a cause of head injury. The rate of intracranial mass lesion was higer in the aged. Contusional hemorrhage and subdural hematoma were common in the aged, while epidural hemotoma was the most common lesion in the young. The frequency of delayed lesion and intracranial mass lesion without skull fracture were more common in the aged. The rate of operative treatment and the mortality rate of the aged were higher than those of the young. This study revealed that the cause of head injury in the aged was different from that of the young, and the rates of intracranial mass lesion and de-layed lesion were higher in the aged, which increased the proportion of the patients with low GCS, and made the prognosis of the aged poor.