弥漫性轴索损伤的CT诊断  

Diagnosed value of CT examination in diffuse encephalic axonal injury

作　　者：张筠[1] 魏学武[1] 张以忠[2] 倪平[1] 杨伟[1] 

机构地区：[1]吉林医药学院附属医院神经外科,吉林吉林132013 [2]吉林医药学院病理教研室

出　　处：《中国实验诊断学》2008年第8期985-987,共3页Chinese Journal of Laboratory Diagnosis

摘　　要：目的探讨CT对脑弥漫性轴索损伤(DAI)的诊断价值。方法回顾性分析44例经临床证实为DAI患者的临床及CT资料。结果44例DAI的CT表现为弥漫性脑肿胀44例;低密度区41例;脑实质内出血灶39例,呈单发或多发,直径小于2cm,主要分布于皮髓质交界、胼胝体、基底节区和脑干;蛛网膜下腔出血15例。结论44例临床分析表明,头颅CT检查在脑DAI的早期诊治中具有积极意义。Objective To evaluate the value of CT in diagnosis of diffuse encephalic axonal injury（DAI）.Methods The CT imagine data and its correlated clinic features of 44 patients with clinically-proved DAI were retrospectively analyzed. Results The diffuse brain edema were found in 44 cases; low density area 41 cases;39 cases had hemorrhage lesions （less than 2 era in diameter） in brain parenchyma which were at eortieomedullary junction,callosum, brain stem, basal gandlia, internal capsule; Subarachnoid hemon＇hagel5 cases.Conclusion Clince analysis of 44 cases shows early diagnosis of diffuse axeonal injury in CT Head examination has important value.

关 键 词：弥漫性轴索损伤 CT 诊断 

分 类 号：R651.15[医药卫生—外科学] R743.35[医药卫生—临床医学]