脑挫裂伤CT与临床分型的应用价值  

Using value of typing on brain contusion and laceration by combining clinical manifastation with CT imaging

作　　者：张合林[1] 展如才[1] 田爱民[1] 齐再利[1] 侯宗来[2] 谢良军[2] 

机构地区：[1]济南市第三人民医院神经外科,山东济南250101 [2]济南市第三人民医院影像中心,山东济南250101

出　　处：《中国医疗前沿》2008年第16期23-24,共2页China Healthcare Innovation

摘　　要：目的探讨脑挫裂伤分型在临床治疗中的应用价值。方法对1062例脑挫裂伤患者进行回顾性分析,根据临床表现、CT检查结果及腰穿结果进行临床分型,共分为4型:Ⅰ型为轻度单纯性脑挫裂伤,Ⅱ型为中度局限性脑挫裂伤,Ⅲ型为重度多处脑挫裂伤,Ⅳ型为特重度广泛脑挫裂伤。对每型的预后进行统计学分析。结果Ⅰ-Ⅱ型690例,均治愈,其中,12例伴发脑水肿,7例手术,5例保守治疗,均最后痊愈;Ⅲ型242例,治愈35例,轻残121例,重残36例、植物生存13例、死亡8例;Ⅳ型130例。治愈11例、轻残14例、重残56例、植物生存28例、死亡21例。结论分型级别越高,预后越差。脑挫裂伤分型对临床评估伤情和预后、指导观察和治疗有重要的应用价值。Objective Discussion about the using value of typing on brain contusion and laceration in clinical treatment. Methods we retrospective analyzed 1062 patients of brain contusion and laceration and took a integative analysis on that of clinical manifastation and CT imaging and lumbar puncture results. Results TypeⅠ-Ⅱ of 690 cases, were cured, of which 12 cases associated with cerebral edema, seven cases of surgery, five cases of conservative treatment, were finally recovered; Type Ⅲ of 242 cases, cured 35 cas...

关 键 词：脑挫裂伤 CT 临床 分型 预后 

分 类 号：R651.15[医药卫生—外科学]