CAJ | 학술논문

目的总结汶川大地震颅脑损伤情况及多层螺旋CT的诊断价值.方法对收治的汶川地震伤员1557例中因颅脑外伤的292例进行CT检查,其中CT检查阳性者225例.回顾性总结225例颅脑损伤患者的损伤类型及多层螺旋CT表现,分析多平面重组(MPR)及三维(3D)重组成像的应用价值.结果颅脑损伤225例,主要包括颅骨骨折66例,脑挫裂伤50例,颅内血肿55例,蛛网膜下腔出血16例,硬膜下积液16例,头皮异物20例,外伤性脑梗死2例.其中22例进行了手术治疗.结论地震住院救治伤员中颅脑损伤占的比例较大,MPR及3D图像可以为神经外科医师术前提供直观可靠的依据.
목적 총결문천대지진로뇌손상정황급다층라선CT적진단개치.방법 대수치적문천지진상원1557례중인로뇌외상적292례진행CT검사,기중CT검사양성자225례.회고성총결225례로뇌손상환자적손상류형급다층라선CT표현,분석다평면중조(MPR)급삼유(3D)중조성상적응용개치.결과 로뇌손상225례,주요포괄로골골절66례,뇌좌렬상50례,로내혈종55례,주망막하강출혈16례,경막하적액16례,두피이물20례,외상성뇌경사2례.기중22례진행료수술치료.결론 지진주원구치상원중로뇌손상점적비례교대,MPR급3D도상가이위신경외과의사술전제공직관가고적의거.
Objective To evaluate the information of head injury caused by the major earthquake of Wenehuan and the diagnostic value of muhi-slice spiral CT(MSCT). Methods A total of 1557 earthquake victims were hospitalized, of which head CT scan was performed in 292 eases, and abnormalities were found in 225 of them. The composition, type of injury and MSCT findings of head injury were retrospectively analyzed. Results CT abnormalities were found in 225 victims, including 66 cases of skull fracture,50 eases of cerebral contusion and laceration, 55 eases of intracranial hematoma, 16 cases of subaraehnoid hemorrhage, 16 eases of subdural collection of fluid,20 eases of foreign substance of scalp,and 2 eases of traumatic cerebral infarction. Operation was performed in 22 of them. Conclusion The incidence of head injury in earthquake was high, and most of them were not severe. The examination of MSCT was rapid, MPR and 3D images can clearly show the lesion of craniocerebral trauma. MSCT can provide more valuable information for clinical therapy in craniecerebral trauma caused by earthquake.