论文部分内容阅读
目的探讨弥漫性轴索损伤(DAI)的临床诊治及影响预后的因素。方法回顾性分析2007年1月—2010年6月收治的56例DAI患者的临床资料、影像学特点及治疗结果,分析GCS评分及原发昏迷时间与预后的关系。结果 CT扫描发现脑不同部位有点片状高或低密度影40例(71.4%),2例CT及MRI扫描均未见异常。死亡19例,植物生存13例,残疾10例,痊愈14例。结论 DAI诊断主要根据临床表现,同时结合CT、MRI等影像学资料,治疗采用综合治疗,入院GCS评分及原发昏迷时间与预后密切相关。
Objective To investigate the clinical diagnosis and treatment of diffuse axonal injury (DAI) and its prognostic factors. Methods The clinical data, imaging characteristics and treatment outcome of 56 patients with DAI admitted from January 2007 to June 2010 were retrospectively analyzed. The relationship between GCS score and primary coma time and prognosis was analyzed. Results CT scan found that there were 40 cases (71.4%) with some flaky or low density in different parts of the brain. No abnormalities were observed in 2 cases of CT and MRI scan. 19 cases were dead, 13 cases were plant life, 10 cases were disabled and 14 cases were cured. Conclusions DAI diagnosis is mainly based on clinical manifestations, combined with CT, MRI and other imaging data, the treatment of comprehensive treatment, admission GCS score and primary coma time and prognosis are closely related.