CAJ | 학술논문

目的探讨颅脑损伤急性期D-二聚体(DD)含量的变化及与CT影像变化和临床预后的相关性.方法动态临测87例不同伤情颅脑损伤患者和检测90例健康对照者血浆中DD含量的变化,同时行GCS、GOS评分,并与CT结果比对.结果颅脑损伤患者DD含量明显高于对照组,差异有统计学意义(P＜0.05);损伤患者DD检测水平与GCS、GOS呈现负相关,和CT影像变化呈正相关,并随伤情演变同步.结论 DD的定量检测与影像学变化密切相关,其有助于判断颅脑损伤患者预后.
목적 탐토로뇌손상급성기D-이취체(DD)함량적변화급여CT영상변화화림상예후적상관성.방법 동태림측87례불동상정로뇌손상환자화검측90례건강대조자혈장중DD함량적변화,동시행GCS、GOS평분,병여CT결과 비대.결과 로뇌손상환자DD함량명현고우대조조,차이유통계학의의(P＜0.05);손상환자DD검측수평여GCS、GOS정현부상관,화CT영상변화정정상관,병수상정연변동보.결론 DD적정량검측여영상학변화밀절상관,기유조우판단로뇌손상환자예후.
Objective To study the correlations between levels of plasma D-dimer (DD) and CT images as well as prognosis of acute head injury. Methods The levels of plasma DD were quantitatively dynamically measured and CT images were taken in 87 patients with head injuries. The relationships of the concentration of DD with Glasgow coma score (GCS), Glasgow outcome score(GOS) and CT images were studied. Results The level of plasma DD in patients with bead injuries was significantly higher than that of control group (P<0.05). The concentration of DD was positively correlated with CT alterations, and negative correlated with GCS and GOS. Conclusion The level of plasma DD is correlated with change of CT images, which may be useful for judging the severity and prognosis in the early stage of head injury.