CT血管造影对重型颅脑创伤的早期监测及预后判定  

Early mornitoring and prognosis judgement of severe traumatic brain injury by CT angiography

作　　者：王玉海[1] 陈磊[1] 蔡学见[1] 杨理坤[1] 朱军[1] 王剑超[1] 高泽勇[1] 孙呈国[1] 刘斌[1] 

机构地区：[1]解放军第101医院神经外科,全军颅脑损伤救治中心,无锡214044

出　　处：《中华神经外科杂志》2010年第10期911-914,共4页Chinese Journal of Neurosurgery

基　　金：基金项目：南京军区十一五重点课题（082005）

摘　　要：目的 探讨CT血管造影（CTA）对重型颅脑创伤早期监测及预后判定的作用.方法 对58例重型颅脑创伤患者术前及术后使用128层螺旋CT行头颅CTA动态检查.结果 重型颅脑创伤后CTA显示脑血管主要发生五种变化：血管移位、动脉痉挛或闭塞、动脉穿支减少、脑深静脉狭窄或闭塞、大脑浅静脉狭窄或闭塞.大动脉痉挛或闭塞者预后差,大脑深静脉如大脑内静脉和基底静脉同时闭塞者预后极差,大脑浅静脉的狭窄或闭塞反映了颅内压的变化.结论 CTA可用于重型颅脑创伤的早期监测及预后判定.Objective To investigate the effect of early mornitoring and prognosis judgement of severe traumatic brain injury by CT angiography. Methods CTA was performed to 58 cases of severe traumatic brain injury by 128 slice spiral CT. Results There were five kinds of changes in blood vessels of brain after severe traumatic brain injury by CTA： vascular displacement, vasospasm or vascular occlusion,artery perforating branches lessening, deep veins stenosis or occlusion, superficial veins stenosis or occlusion. The prognosis was poor in vasospasm or vascular occlusion cases, and the prognosis is very poor in same cases which occlusion occurred between intercerebral vein and basal vein. Superficial veins stenosis or occlusion was a kind of reflection of the change of intracranial pressure. Conclusion CTA can be used for early mornitoring and prognosis judgement in severe traumatic brain injury.

关 键 词：CT血管造影 重型颅脑创伤 早期监测 预后 

分 类 号：R686[医药卫生—骨科学]