中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
34期
107-108
,共2页
成人%创伤性脑梗死%CT诊断
成人%創傷性腦梗死%CT診斷
성인%창상성뇌경사%CT진단
Adult%Traumatic cerebral infarction%CT diagnose
目的：探讨成人创伤性脑梗死的 CT 诊断要点。方法：2011年2月-2014年7月收治创伤性脑梗死患者26例，根据外伤轻重程度进行分组，其中轻微外伤15例，严重外伤11例，所有患者应用 SIEMENS Emotion 16层螺旋CT机进行检查。结果：轻微外伤患者发生部位均为基底节区腔隙梗死，形状：类圆形低密度灶，边缘清楚9例，边缘模糊6例，双侧豆状核有较对称的单发或多发小点状钙化灶，病灶大小(1.1±0.6)cm×(1.3±0.6)cm，CT直径(25±3) Hu。严重外伤患者发生部位为基底节区梗死灶8例，脑叶梗死3例。颅内损伤情况：硬膜下积液3例，蛛网膜下腔出血1例，脑挫伤及脑内血肿3例，硬膜下血肿1例，硬膜外血肿3例。形状：类圆形低密度灶，扇形密度减低区，双侧豆状核点状钙化灶，病灶大小(1.4±0.7)cm×(1.8±0.9)cm，CT直径(24±3)Hu。结论：CT是诊断成人创伤性脑梗死的重要依据，值得临床推广。
目的：探討成人創傷性腦梗死的 CT 診斷要點。方法：2011年2月-2014年7月收治創傷性腦梗死患者26例，根據外傷輕重程度進行分組，其中輕微外傷15例，嚴重外傷11例，所有患者應用 SIEMENS Emotion 16層螺鏇CT機進行檢查。結果：輕微外傷患者髮生部位均為基底節區腔隙梗死，形狀：類圓形低密度竈，邊緣清楚9例，邊緣模糊6例，雙側豆狀覈有較對稱的單髮或多髮小點狀鈣化竈，病竈大小(1.1±0.6)cm×(1.3±0.6)cm，CT直徑(25±3) Hu。嚴重外傷患者髮生部位為基底節區梗死竈8例，腦葉梗死3例。顱內損傷情況：硬膜下積液3例，蛛網膜下腔齣血1例，腦挫傷及腦內血腫3例，硬膜下血腫1例，硬膜外血腫3例。形狀：類圓形低密度竈，扇形密度減低區，雙側豆狀覈點狀鈣化竈，病竈大小(1.4±0.7)cm×(1.8±0.9)cm，CT直徑(24±3)Hu。結論：CT是診斷成人創傷性腦梗死的重要依據，值得臨床推廣。
목적：탐토성인창상성뇌경사적 CT 진단요점。방법：2011년2월-2014년7월수치창상성뇌경사환자26례，근거외상경중정도진행분조，기중경미외상15례，엄중외상11례，소유환자응용 SIEMENS Emotion 16층라선CT궤진행검사。결과：경미외상환자발생부위균위기저절구강극경사，형상：류원형저밀도조，변연청초9례，변연모호6례，쌍측두상핵유교대칭적단발혹다발소점상개화조，병조대소(1.1±0.6)cm×(1.3±0.6)cm，CT직경(25±3) Hu。엄중외상환자발생부위위기저절구경사조8례，뇌협경사3례。로내손상정황：경막하적액3례，주망막하강출혈1례，뇌좌상급뇌내혈종3례，경막하혈종1례，경막외혈종3례。형상：류원형저밀도조，선형밀도감저구，쌍측두상핵점상개화조，병조대소(1.4±0.7)cm×(1.8±0.9)cm，CT직경(24±3)Hu。결론：CT시진단성인창상성뇌경사적중요의거，치득림상추엄。
Objective:To explore the CT diagnosed main points of adult traumatic cerebral infarction.Methods:26 patients with adult traumatic cerebral infarction were selected from February 2011 to July 2014.They were divided into groups according to the trauma severity.15 cases were minor trauma.11 cases were serious trauma.All patients were given SIEMENS Emotion 16 slice spiral CT inspection.Results:The positions of minor trauma patients were all basal ganglia lacunar infarction,shape:such circular low-density focus,clear-cut margin in 9 cases,edge fog in 6 cases,bilateral lentiform nucleus with a symmetrical single or multiple small dot calcifications,the lesion size was (1.1±0.6)cm×(1.3±0.6)cm,the CT diameter was (25±3)Hu.The positions of serious trauma patients were basal ganglia infarction in 8 cases,cerebral lobe infarction in 3 cases.The intracranial injury condition:3 cases of subdural effusion,1 case of subarachnoid hemorrhage,3 case of brain contusion and intracerebral hematoma,1 case of subdural hematoma,3 cases of epidural hematoma.Shape:such circular low- density focus,the sector lower density area,bilateral lentiform nucleus punctate calcification,the lesion size was (1.4 ± 0.7)cm × (1.8 ± 0.9)cm,the CT diameter was (24 ± 3)Hu. Conclusion:CT is an important basis for the diagnosis of adult traumatic cerebral infarction.It is worth the clinical promotion.
