原著
超高齢者（85歳以上）の頭部外傷：特に抗血小板・抗凝固治療との関連について
2012 年 35 巻 1 号 p. 29-32
詳細
2012 年 35 巻 1 号 p. 29-32
The characteristics of 50 cases aged 85 years and older that admitted to our institute because of head injury were analyzed. Chronic phase admissions were excluded.
Thirty-one cases were female, while male dominancy was noticed considering sex ratio of 85 years and older population in our area. Thirty cases were injured by ground-level fall. Modified Rankin Scale (mRS) at discharge worsened compared with pre-injury status in 17 of 19 acute subdural hematoma (ASDH), 15 of 19 brain contusion and 2 of 5 traumatic subarachnoid hemorrhage cases. Four brain concussion, 2 skull fracture and one acute epidural hematoma cases did not deteriorate. 8 cases of ASDH and 6 cases of contusion died. Four cases of acute subdural hematoma underwent surgery, but their outcomes were mRS 5 or 6. A half of cases took antiplatelet and/or anticoagulation therapy before injury. Low-dose aspirin alone did not have influence on prognosis, while anticoagulant or multiple antiplatelet medication induced worse prognosis.
