弥漫性轴索损伤105例临床分析  

Clinical analysis of 105 cases of diffuse axonal injury

作　　者：王国锋[1] 金清东[1] 林秋泉[1] 周金东[1] 

机构地区：[1]福建医科大学莆田市第一教学医院神经外科,莆团351100

出　　处：《中华神经医学杂志》2008年第9期945-946,949,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨脑弥漫性轴索损伤的临床疗效：方法回顾性分析莆田市第一医院神经外科自2000年3月至2007年10月收治的105例经综合措施治疗的弥漫性轴索损伤患者的临床资料。结果所何患者随访6～30个月，死亡23例，存活82例，其中恢复良好20例，中残37倒，重残19倒．植物生存6例结论早期应用激素、亚低温、高压氧及尼莫地平等综合措施能有效改善弥漫性轴索损伤的预后。Objective To study the clinical outcomes of diffuse axonal injury （DAI）. Methods A retrospective analysis was conducted involving 105 patients with DAI treated with comprehensive therapies, Results In the follow-up for 6 to 30 months, 23 patients died, and among the 82 patients survived, 6 were in vegetative state, 19 had severe disabilities, 37 had moderate disabilities, and 20 showed good recovery. Conclusion Comprehensive treatments including early use of hormones, hypothermic therapy, and application of hyperbaric oxygen and nimodipine can improve the prognosis of DAI.

关 键 词：弥漫性轴索损伤 综合治疗 

分 类 号：R651.15[医药卫生—外科学]