GCS 15分颅内出血病人的临床与CT比较分析  

Clinical and CT analysis of GCS 15 patients with intracranial hemorrhage

作　　者：杨林[1] 何健垣[1] 江山岳[1] 张燕玲[1] 

机构地区：[1]遵义医学院第五附属医院放射科,广东珠海519100

出　　处：《影像诊断与介入放射学》2007年第1期3-5,共3页Diagnostic Imaging & Interventional Radiology

摘　　要：目的对GCS15分外伤性颅内出血病人的临床与CT进行比较分析,以提高对头部外伤后GCS15分病人的重视。方法对2002年3月至2006年8月,我院收治的35例GCS15分CT检查颅内有出血的病例资料,进行临床与CT比较分析,并进行短期复查。结果临床:短暂意识障碍6例(17%),恶心呕吐9例(26%),头痛头晕34例(97%),头颈部明显伤痕35例(100%);CT:脑内出血18例,其中额颞叶16例(75%);硬膜外9例,蛛网膜下腔8例,硬膜下出血7例。复查:临床症状加重与CT检查颅内病变加重一致。结论外伤后GCS15分的病人,短暂意识障碍、恶心呕吐、头痛头晕、头颈部明显伤痕的病人,须早期重视颅内出血的可能,伤后即时作头颅CT扫描非常重要。对于短期症状加重的病人,提示颅内损伤加重,建议CT复查,以指导下一步的临床治疗。Objective To analyze the clinical symptoms and CT manifestations of GCS 15 patients with intracranial hemorrhage. Methods Clinical data and manifestations of the CT images of 35 patients with GCS 15 and intracranial hemorrhage were retrospectively analyzed and followed up. in short term. Results Clinical symptoms： Deficits in short-term memory appeared in 17% of patients, vomiting in 26%, headache in 97%, physical evidence of trauma above the clavicles in 100%. CT scanning： intracerebral hemorrhage occurred in 18 patients, epidural hemorrhage in 9 patients, subarachnoid hemorrhage in 8 patients, subdural hemorrhage in 7 patients. During follow up, clinical severe degree was in consistent of craniocerebral CT scanning. Conclusion For patients with GCS 15 brain injuries early head CT scanning is very important. Intracranial hemorrhage may occur in these patients. If possible, re-assessment of clinical examination and CT scanning is remarkably necessary.

关 键 词：颅脑外伤 颅内出血 GCS CT 

分 类 号：R651.15[医药卫生—外科学]