脑挫裂伤的CT分型和预后

被引:2
作者
徐顺清
吴伟烈
孟庆刚
刘鸣
朱杰明
机构
[1] 上海第二医科大学附属新华医院神经外科
[2] 上海第二医科大学附属新华医院CT室
关键词
脑挫裂伤; CT扫描;
D O I
暂无
中图分类号
学科分类号
摘要
1984~1990年共收治脑挫裂伤304例,资料完整者151例。按首次CT图像分为局灶性损伤(FI),弥漫性水肿(DS)和弥漫性轴突损伤(DAI)。不同类型脑挫裂伤预后各异,以FI和DS预后较好,DAI死亡率甚高。经过药物治疗,其中25例因迟发性颅内血肿或脑水肿不能控制而手术治疗。全组死亡率为18.5%。CT图像中线移位>5mm,基底池、鞍上池、脑室消失等征象提示预后不良。
引用
收藏
页码:198 / 201
页数:4
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