CAJ | 학술논문

目的比较MR、CT和体格检查在脑干损伤早期诊断中的作用.方法将颅脑损伤后出现意识障碍需排除脑干损伤的21例患者在保持气道通畅等情况下,进行体格检查、CT和MR检查,并对诊断结果进行对比分析.结果本组21例颅脑损伤后意识昏迷患者中出现脑干损伤症状17例,行气管切开14例,行颅内血肿或脑挫伤减压手术7例.21例均行头颅CT检查示脑干区低密度影9例,广泛性蛛网膜下腔出血或环池周围出血7例,轻度蛛网膜下腔出血表现或脑干周围变化不明显5例;头颅MRI检查证实脑干损伤15例,另6例仅为纵裂、颅底、半球区脑挫伤.结论 MRI对于脑干损伤的诊断优于CT及体格检查,可起到确诊作用.
목적 비교MR、CT화체격검사재뇌간손상조기진단중적작용.방법 장로뇌손상후출현의식장애수배제뇌간손상적21례환자재보지기도통창등정황하,진행체격검사、CT화MR검사,병대진단결과진행대비분석.결과 본조21례로뇌손상후의식혼미환자중출현뇌간손상증상17례,행기관절개14례,행로내혈종혹뇌좌상감압수술7례.21례균행두로CT검사시뇌간구저밀도영9례,엄범성주망막하강출혈혹배지주위출혈7례,경도주망막하강출혈표현혹뇌간주위변화불명현5례;두로MRI검사증실뇌간손상15례,령6례부위종렬、로저、반구구뇌좌상.결론 MRI대우뇌간손상적진단우우CT급체격검사,가기도학진작용.
Objective To compare the prognostic role of MRI scan,CT scan and physical check-up in the brainstem injury.Methods Twenty-one patients with craniocerebral injury,appearing disturbance of consciousness,were performed MRI scan,CT scan and physical check-up to exclude brainstern injury under airway unobstructed condition;their results were compared and analyzed.Results In all of these patients,17 showed brainstern injury symptoms.Tracheotomy was performed in 14 and decompression of cerebral contusion and removal of intracranial hematoma was performed in 7.CT examination was adopted in all the patients:low-density shadow in hrainstem region and catholicity subarachnoid hemorrhage was found in 9 and 7,respectively;gently subarachnoid hemorrhage or no obvious brainstem change was noted in 5.MRI scan showed that 15 patients were diagnosed as having brainstem injury and 6 were base of skull or hemisphere region injuries.Conclusion MRI scan,which is better than CT scan and physical check-up,can help to make a definite diagnosis in brainstem injury.