中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2009年
7期
1197-1198
,共2页
弥漫性轴索损伤%诊断%治疗
瀰漫性軸索損傷%診斷%治療
미만성축색손상%진단%치료
Diffuse axonal injury%Diagnosis%Treatment
目的 探讨弥漫性轴索损伤(DAI)的发病机制、临床特点、诊断及治疗方法 .方法 观察分析48例DAI患者的临床表现、影像学表现、治疗及预后.结果 按GOS评分结果 ,治愈18例,中残12例,重残或植物生存10例,死亡8例.结论 保持呼吸道通畅,防治脑水肿,采用高压氧及早期应用大剂量纳络酮等综合治疗,是提高DAI救治成功率的关键.
目的 探討瀰漫性軸索損傷(DAI)的髮病機製、臨床特點、診斷及治療方法 .方法 觀察分析48例DAI患者的臨床錶現、影像學錶現、治療及預後.結果 按GOS評分結果 ,治愈18例,中殘12例,重殘或植物生存10例,死亡8例.結論 保持呼吸道通暢,防治腦水腫,採用高壓氧及早期應用大劑量納絡酮等綜閤治療,是提高DAI救治成功率的關鍵.
목적 탐토미만성축색손상(DAI)적발병궤제、림상특점、진단급치료방법 .방법 관찰분석48례DAI환자적림상표현、영상학표현、치료급예후.결과 안GOS평분결과 ,치유18례,중잔12례,중잔혹식물생존10례,사망8례.결론 보지호흡도통창,방치뇌수종,채용고압양급조기응용대제량납락동등종합치료,시제고DAI구치성공솔적관건.
Objective To discuss the clinical feature, diagnostic main points and treatment of diffuse axonal injury(DAI). Methods The clinical materials and imaging findings and treatment and prognosis of 48 cases with DM were analyzed retrospectively. Results 18 cases showed a good outcome, while 12 were moderately disabled, 10 severely disabled or survived in a permanent vegetative state and 8 cases died. Conclusion To preserve the fluent respiratory tract, to control intracranial pressure, to treat with hyperbaric oxygenation and high-dose naloxone in early time were crucial in clinical practice to DAI.
