Journal of Capital Medical University ›› 2020, Vol. 41 ›› Issue (2): 302-306.doi: 10.3969/j.issn.1006-7795.2020.02.028

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Correlation between coagulation and progressive hemorrhagic injury in elderly patients with acute traumatic brain injury

Hu Yue1, Song Haozhe2, Chen Jiashu3, Liang Yuting4, Zhao Anqi5, Wang Murong4, Li Lizhuo6   

  1. 1. Graduate Student of Emergency Department, First Clinical Hospital of Capital Medical University, Beijing 100053, China;
    2. 2015 Eight-Year Program of Clinical Medicine Major, First Clinical Hospital of Capital Medical University, Beijing 100053, China;
    3. 2015 Eight-Year Program of Clinical Medicine Major(Pediatric Class), the First Clinical Hospital of Capital Medical University, Beijing 100053, China;
    4. 2016 Eight-Year Program of Clinical Medicine Major(Pediatric Class), First Clinical Hospital of Capital Medical University, Beijing 100053, China;
    5. 2016 Eight-Year Program of Clinical Medicine Major, First Clinical Hospital of Capital Medical University, Beijing 100053, China;
    6. Emergency Department, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
  • Received:2019-12-18 Online:2020-04-21 Published:2020-04-16
  • Supported by:
    This study was supported by National Natural Science Foundation of China(81660329),Undergraduate Research Project of Capital Medical University(XSKY2019).

Abstract: Traumatic brain injury (TBI) refers to the brain injury caused by external force, As which is the disease with the highest fatality rate and disability rate in the whole body trauma. As one of its serious complications, progressive hemorrhagic injury(PHI) is the main cause of death in patients with craniocerebral trauma,and coagulation dysfunction is one of its main pathophysiological mechanisms. The proportion of elderly patients with craniocerebral trauma gradually increases with the aging of the population. Meanwhile, age is a risk factor for progressive hemorrhagic injury. Elderly patients with craniocerebral trauma are prone to suffering from progressive hemorrhagic injury,with worse state and prognosis than those of non-elderly patients once PHI occurs. Therefore, exploration of the correlation between coagulation indexes and progressive hemorrhagic injury in elderly patients with TBI and the predictive value of each coagulation index to PHI is conducive to clinical reference for early detection and timely diagnosis and treatment. In this paper, we reviewed the research progresses of coagulation disorder and progressive hemorrhagic brain injury after traumatic brain injury in the elderly.

Key words: traumatic brain injury(TBI), progressive hemorrhagic injury(PHI), coagulation, the elderly

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