弥漫性轴索损伤的临床特点及治疗  

Clinical characteristics and treatment with diffuse axonal injury

作　　者：李卫贤[1] 杨林[1] 魏璐城[1] 

机构地区：[1]遵义医学院第五附属医院神经外科,广东珠海519100

出　　处：《中国校医》2005年第3期233-235,共3页Chinese Journal of School Doctor

摘　　要：目的分析弥漫性轴索损伤(DAI)的临床特点、诊断方法、治疗措施以及预后情况,以总结经验,提高疗效。方法对我科1993年1月-2004年1月收治的126例弥漫性轴索损伤患者进行回顾性分析。结果本组病例治疗后GOS评分为良好38例,占30.1%;中残21例,占16.7%;重残13例,占10.3%;死亡54例,占42.9%。结论脑损伤后持续昏迷超过6h,CT扫描正常或脑内可见点状高密度影,颅内无占位效应者可诊断为DAl。DAI预后差。目前仍缺乏有效的治疗措施。Objective To study the clinical features, diagnostic methods, treatment and prognosis of diffuse axonal injury (DAI). Methods A total of 126 cases with DAI were summarized retrospectively from January 1993 to January2004. Results According to the Glasgow Outcome Scale, good recovery was in 38 cases (30. 1%), vegetative state in 34 cases (27%), death in 54 cases (42.9%). Conclusions It could be diagnosed of DAI that coma exceeds 6 hours after brain trauma, and computed tomography indicates normal or high dense image and no center live deviation. DAI' s outcome is bad, and the treatment is not effective at present.

关 键 词：弥漫性轴索损伤 临床特点 2004年1月 治疗措施 回顾性分析 1993年 GOS评分 无占位效应 诊断方法 持续昏迷 脑损伤后 高密度影 CT扫描 DAI 伤患者 治疗后 预后差 

分 类 号：R651.15[医药卫生—外科学] R739.41[医药卫生—临床医学]