CAJ | 학술논문

目的：探讨和分析弥漫性轴索损伤的临床特点及诊治方法，以提高其治愈率，改善预后。方法从我院2005年2月~2013年6月收治住院的弥漫性轴索损伤患者中随机性抽取92例进行回顾性分析。结果弥漫性轴索损伤患者主要的损伤原因为车祸伤导致，占总数的81.5%，然后是坠落伤导致，占总数的13%，其它因素导致者，所占比例为5.5%。本组所有出院病例均获随访，随访时间为6~20个月，平均10个月；所有患者均应用GOS评分判断预后，恢复良好者例数为45例，中度残疾者10例，重残及植物人状态生存者22例，死亡者15例。结论弥漫性轴索损伤为常见的颅脑损伤类型，但存在诊断和治疗上的难度，且预后效果也较差，故临床上需予以高度重视，并通过对GCS评分、意识障碍的程度及时间长短、瞳孔变化等重要指标进行分析，及时采取积极有效的综合方案进行诊治，以改善其预后。
목적：탐토화분석미만성축색손상적림상특점급진치방법，이제고기치유솔，개선예후。방법종아원2005년2월~2013년6월수치주원적미만성축색손상환자중수궤성추취92례진행회고성분석。결과미만성축색손상환자주요적손상원인위차화상도치，점총수적81.5%，연후시추락상도치，점총수적13%，기타인소도치자，소점비례위5.5%。본조소유출원병례균획수방，수방시간위6~20개월，평균10개월；소유환자균응용GOS평분판단예후，회복량호자례수위45례，중도잔질자10례，중잔급식물인상태생존자22례，사망자15례。결론미만성축색손상위상견적로뇌손상류형，단존재진단화치료상적난도，차예후효과야교차，고림상상수여이고도중시，병통과대GCS평분、의식장애적정도급시간장단、동공변화등중요지표진행분석，급시채취적겁유효적종합방안진행진치，이개선기예후。
Objective To investigate and analyze the clinical features,diagnosis and treatment of dif use axonal injury.Methods A retrospective analysis was performed to analyze the clinical data of 92 cases with dif use axonal injury,which were provided by our hospital from February 2005 to June 2013.Results Al discharged cases received fol ow-up, fol ow-up time was 6 to 20 months,an average of 10 months.Al patients were applied to GOS prognosis,the number of cases recovered wel as 45 cases,10 cases of moderate disability,severe disability and vegetative state survival in 22 patients,15 patients died.Conclusion Dif use axonal injury need to be highly valued.We should closely observe the consciousness and pupil ary changes,and take ef ective treatment to improve their prognosis.