中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2008年
9期
930-931
,共2页
外伤性蛛网膜下腔出血%急性硬脑膜下血肿%误诊
外傷性蛛網膜下腔齣血%急性硬腦膜下血腫%誤診
외상성주망막하강출혈%급성경뇌막하혈종%오진
Traumatic subarachnoid hemorrhage%Acute subdural hematoma%Misdiagnosis
目的 探讨急性创伤后头颅CT检查表现为颅骨缘下"新月形"样高密度影改变的蛛网膜下腔出血(SAH)的特征,提高对SAH的认识. 方法 从临床表现、CT影像、治疗方法及效果、预后等方面对32例类似于ASDH的外伤性蛛网膜下腔出血(tSAH)患者的临床资料进行回顾性分析. 结果 32例tSAH均表现为骨缘下"新月形"高密度影.手术治疗3例,2例痊愈,1例轻残.非手术治疗29例,28例痊愈,1例轻残. 结论 tSAH有时头颅CT可表现为骨缘下"新月形"高密度影,易误诊为ASDH,非手术治疗有较好的效果.
目的 探討急性創傷後頭顱CT檢查錶現為顱骨緣下"新月形"樣高密度影改變的蛛網膜下腔齣血(SAH)的特徵,提高對SAH的認識. 方法 從臨床錶現、CT影像、治療方法及效果、預後等方麵對32例類似于ASDH的外傷性蛛網膜下腔齣血(tSAH)患者的臨床資料進行迴顧性分析. 結果 32例tSAH均錶現為骨緣下"新月形"高密度影.手術治療3例,2例痊愈,1例輕殘.非手術治療29例,28例痊愈,1例輕殘. 結論 tSAH有時頭顱CT可錶現為骨緣下"新月形"高密度影,易誤診為ASDH,非手術治療有較好的效果.
목적 탐토급성창상후두로CT검사표현위로골연하"신월형"양고밀도영개변적주망막하강출혈(SAH)적특정,제고대SAH적인식. 방법 종림상표현、CT영상、치료방법급효과、예후등방면대32례유사우ASDH적외상성주망막하강출혈(tSAH)환자적림상자료진행회고성분석. 결과 32례tSAH균표현위골연하"신월형"고밀도영.수술치료3례,2례전유,1례경잔.비수술치료29례,28례전유,1례경잔. 결론 tSAH유시두로CT가표현위골연하"신월형"고밀도영,역오진위ASDH,비수술치료유교호적효과.
Objective To explore the features of subarachnoid hemorrhage (SAH) manifested as crescentshaped high density changes on brain CT.Methods The clinical data of 32 eases of tSAH similar to acute subdural hematoma ASDH were retrospectively analyzed.Results 2 cases of 3 receiving operation procedure were cured and 1 was slightly disabled.28 cases of 29 receiving non-operation treatment were cured and l was slightly disabled. Conclusion Because sometimes tSAH is featured as crescent-shaped high density image on brain CT,which will have a better effect through non.operation,so it is easily misdiagnosed as ASDH.
