中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2008年
13期
35
,共1页
轴索损伤%弥漫性%分析
軸索損傷%瀰漫性%分析
축색손상%미만성%분석
Diffuse axonal injury%Non-operation therapy%Analyse
目的 总结脑弥漫性轴索损伤(DAI)的临床表现、诊断及治疗经验. 方法 回顾性分析30例脑弥漫性轴索损伤(DAI)患者的临床资料. 结果 交通事故占96%,伤后持续昏迷,无中间清醒期,常无神经定位体征,影像学资料显示颅内胼胝体、灰白质交接处等点片状出血,非手术治疗为主要手段. 结论 DAI的诊断需结合受伤机制、临床表现以及头颅CT检查综合分析.早期诊断及用药、加强对症处理,能提高DAI的救治成功率.
目的 總結腦瀰漫性軸索損傷(DAI)的臨床錶現、診斷及治療經驗. 方法 迴顧性分析30例腦瀰漫性軸索損傷(DAI)患者的臨床資料. 結果 交通事故佔96%,傷後持續昏迷,無中間清醒期,常無神經定位體徵,影像學資料顯示顱內胼胝體、灰白質交接處等點片狀齣血,非手術治療為主要手段. 結論 DAI的診斷需結閤受傷機製、臨床錶現以及頭顱CT檢查綜閤分析.早期診斷及用藥、加彊對癥處理,能提高DAI的救治成功率.
목적 총결뇌미만성축색손상(DAI)적림상표현、진단급치료경험. 방법 회고성분석30례뇌미만성축색손상(DAI)환자적림상자료. 결과 교통사고점96%,상후지속혼미,무중간청성기,상무신경정위체정,영상학자료현시로내변지체、회백질교접처등점편상출혈,비수술치료위주요수단. 결론 DAI적진단수결합수상궤제、림상표현이급두로CT검사종합분석.조기진단급용약、가강대증처리,능제고DAI적구치성공솔.
Objective To summarize the elinieal manifestation, diagnosis and treatment experience of patients with diffuse axonal injury (DAI). Methods We analysed clinical data of 30 DM eases retrospectively. Results Traffic accident accounted 96% of eanses;long term in coma, without lucid interval, frequently without physical sign of nervous position fixing, and materials of imageology display punctiform or lamellar bleeding of callositas and grey matter boundary. Non - operation therapy was main treatment. Conclusion Diagnosis of DAI needs aggregate analysis of injury mechanism, clinical manifestation and cranial CT scan. Priatinediagnosis and medication, intensive symptomatic treatment, can raise achievement ratio of remedy.
