CT在外伤性脑梗死中的应用  

CT in Evaluation of Traumatic Cerebral Infarction

作　　者：陈少龙[1] 陈卫鹏[1] 许建生[1] 

机构地区：[1]揭阳市人民医院,广东揭阳522000

出　　处：《实用医技杂志》2006年第2期191-192,共2页Journal of Practical Medical Techniques

摘　　要：目的:探计外伤性脑梗死的CT表现特征及诊断价值。方法:分析54例外伤性脑梗死的临床特点与CT表现。结果:根据其临床特点和CT表现将其分为2型即Ⅰ型(30例)轻微外伤型;Ⅱ型(24例)严重外伤型。Ⅰ型见于小儿,特别是婴儿,外伤轻微,CT表现为基底节区腔隙性脑梗死灶,其中76.6%(23/30)双侧豆状核见点状钙化灶。Ⅱ型多见于成人,小儿少见,有严重的颅脑损伤,CT表现为基底节区或/和脑叶梗死及颅脑损伤的征象,如颅内血肿、脑水肿及挫伤等。结论:CT对外伤性脑梗死有很大的诊断价值。Objective To evaluate CT findings of traumatic cerebral infarction （TCI）. Methods 54 cases of TCI were reviewed and analysed retrospectively. Results According to their differential clinical features and CT manifestations of TCI,which were classified as 2 types：type Ⅰ ,minor head injury and type Ⅱ ,severe head injury,Type Ⅰ （30 cases）occurred in children,especial in infants,cerebral lacunar infarctions in basal ganglia after a minor head injury were viewed in CT. In 23 cases （76.6%） ,spotty calcifications were found in the lendform nucleus. Type Ⅱ（24 cases）occurred in adults or children after a severe head injury,cerebral infarctions of basal ganalia or and brain lobe, and useally complicated with intracranial hematomas,cerebral edema or contusion were viewed. Conclusions CT is very usef in the doagnosis of TCI.

关 键 词：颅脑外伤 脑梗死 断层摄影术 X线计算机 

分 类 号：R743.3[医药卫生—神经病学与精神病学]