中重型颅脑损伤合并颈椎损伤的临床诊断  

Clinical Diagnosis of Cervical Spine Trauma in the Patients with Moderate and Severe Craniocerebral Injuries

作　　者：顾向进[1] 邓纪学[1] 张党林[1] 李东儒[1] 戴学东[1] 王仕国[1] 

机构地区：[1]南京市江宁医院神经外科,江苏南京211100

出　　处：《中国临床神经外科杂志》2009年第8期456-458,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨中重型颅脑损伤合并颈椎损伤的临床诊断。方法回顾性分析16例中重型颅脑损伤合并颈椎损伤的临床诊断和影像学检查资料。结果所有患者均行头颅CT和颈椎CT检查,除因伤情严重放弃治疗3例外,余均行颈髓MR检查。头颅CT均有异常发现,颈椎CT发现异常14例;颈椎CT正常,但颈髓MR异常,即无放射影像异常颈髓损伤有2例。结论中重型颅脑损伤患者易合并颈椎损伤,可在头颅CT扫描的同时行颈椎CT扫描,及时行颈髓MR检查可避免漏诊无放射影像异常颈髓损伤。Objective To explore the clinical diagnosis of cervical spine trauma in the patients with moderate and severe eranioeerebral injury. Methods The clinical data of 16 patients with cervical spine traumas associated with moderate and severe eranioeerebral injuries, who were treated from December, 2006 to December, 2008, were retrospectively analyzed. Results CT examinations of the head and cervical spine were performed in all the patients, and MR examinations of eervial spine were performed in 13 patients. The intraeranial abnormal images were showed by head CT scanning in all the patients. The positive cervical spine CT images were observed in 14 patients. The cervical spinal cord injuries without radiographic abnormality were found by MRI in 2 patients. Conclusions The patients with moderate and severe eranioeerebral injuries, who probably suffer from cervical spine trauma, should receive cervical spine CT examination of the heads and cervical spines at the same time. MR examination of cervical spinal cord also should be performed in time to avoid the misdiagnosis of the cervical spinal cord injury without radiographic abnormality in the patients with moderate and severe eranioeerebral injuries.

关 键 词：中重型颅脑损伤 颈椎损伤 无放射影像异常颈髓损伤 诊断 

分 类 号：R651.15[医药卫生—外科学] R683.2[医药卫生—临床医学]