探讨老年人外伤较其他人群的区别与治疗方案的选择。通过查阅相关文献、综述、指南等对老年人颅脑外伤特点与其他人群的区别，总结老年人颅脑损伤的临床特点，并根据其特点及患者本身的基本情况进行个体化评估，以此来选择治疗方案。老年人由于机体本身的特性和合并其它基础疾病等特点，需早期诊断与积极的综合治疗。而根据其相对较差的基本情况针对性选择保守或适当的手术治疗是必要的。同时既要积极治疗原发病，也要重视伤前疾病的发现和伤后并发症的防治，以期改善预后，提高生存率。

To discuss the clinical features of closed craniocerebral trauma in the elderly and to summarize the therapies. Some essays, reviews and guidelines in this field are collected to find difference between elderly patients and the other people. The features and the basic condition of the patients were collected for individual assessment, in order to choose treatment plan. The elderly due to the characteristics and other basic diseases, need early diagnosis and active treatment. And according to the basic health condition, to choice conservative treatment or proper operative treatment is necessary. So actively treating the primary disease, at the same time, attaching great importance to find the diseases before injury and the prevention of complications after injury is significant for improving the prognosis and survival rate.