CAJ | 학술논문

目的研究弥漫性轴索损伤的CT检查的临床诊断价值及预后的相关性。方法通过回顾分析法，研究我院28例弥漫性轴索损伤患者的临床资料及CT表现，评价CT在诊断弥漫性轴索损伤的价值。结果通过统计CT资料并根据格拉斯哥昏迷指数评分得出：轻度昏迷患者1例，中度昏迷8例，重度昏迷19例。从部位出血角度分析得出，28例患者均出现脑压弥漫性升高，四脑室均受压力萎缩，具体出血部位总结如下：脑干小出血5例，脑室出血3例，脑白灰介质基底节等出血16例，胼胝体出血4例。结论通过早期CT检查可以较早确诊弥漫性轴索损伤及对预后做出正确评估，对于临床应用有重要意义。
목적연구미만성축색손상적CT검사적림상진단개치급예후적상관성。방법통과회고분석법，연구아원28례미만성축색손상환자적림상자료급CT표현，평개CT재진단미만성축색손상적개치。결과통과통계CT자료병근거격랍사가혼미지수평분득출：경도혼미환자1례，중도혼미8례，중도혼미19례。종부위출혈각도분석득출，28례환자균출현뇌압미만성승고，사뇌실균수압력위축，구체출혈부위총결여하：뇌간소출혈5례，뇌실출혈3례，뇌백회개질기저절등출혈16례，변지체출혈4례。결론통과조기CT검사가이교조학진미만성축색손상급대예후주출정학평고，대우림상응용유중요의의。
Objective to study the diffuse axonal injury in the clinical diagnosis value of CT examination and the prognosis of the correlation .Methods by review a-nalysis,research our hospital the clinical data of 28 patients with diffuse axonal injury and CT manifestations and evaluate the value of CT in the diagnosis of diffuse ax-onal injury.Results through statistical data of CT and according to the Glasgow coma scale score we have:mild coma patients in 1 case,mild coma 8 cases,19 cases of se-vere coma.Analysis from the perspective of bleeding,28 patients showed diffuse brain pressure increases,the fourth ventricle pressure atrophy,specific bleeding summary is as follows:small brain stem hemorrhage in 5 cases,ventricle hemorrhage(3 cases),cerebral white medium etc.16 cases of hemorrhage in basal ganglia,corpus callosum hemorrhage 4 cases.Conclusion through the early CT examination can early diagnosis of diffuse axonal injury and prognosis of to make the right assessment ,and has im-portant significance for clinical application .