脑弥漫性轴索损伤的临床诊治  

The Diagnosis and Treatment of Cerebral Diffuse Axonal Injury

作　　者：赵鹏洲[1] 杨本生[1] 赵伯端[1] 

机构地区：[1]广东省江门市人民医院神经外科,广东江门529051

出　　处：《医学临床研究》2004年第6期632-633,共2页Journal of Clinical Research

摘　　要：【目的】探讨脑弥漫性轴索损伤 (DAI)的临床诊断标准及治疗方法。【方法】回顾分析 4 4例DAI病人的临床资料和影像学特点。【结果】保守治疗 4 2例 ,死亡 19例 ,植物生存 6例 ,重度残疾 7例 ,中度残疾5例 ,恢复良好 5例。手术治疗 2例 ,均死亡。【结论】DAI的临床表现与影像学表现不相符 ,两者结合可以诊断DAI;治疗采用综合治疗。To investigate the clinical diagnostic standard and treatment of cerebral diffuse axonal injury (DAI).The clinical materials and imaging display of 44 cases of DAI were analyzed retrospectively.The conservative treatment was carried out in 42 cases, 19 cases of them died,6 cases with subcortical survival ,7cases with severe deficits,5 cases with moderate disability, 5 cases got a good recovery. The operative treatment was performed in 2 cases,all of them died.[Conclusion]The clinical findings do not totally coinside with the imaging display of DAI. Combining with clinical findings and CT scanning, the diagnosis of DAI can be made. The treatment of DAI is comprehensive.

关 键 词：脑疾病/诊断 脑疾病/治疗 

分 类 号：R742.8[医药卫生—神经病学与精神病学]