急性弥漫性颅脑损伤与局灶性颅脑损伤的比较  

THE COMPARISON BETWEEN ACUTE DIFFUSE CRANIOCEREBRAL INJURY AND LOCAL CRANIOCEREBRAL INJURY

作　　者：徐育林 杨新宇[1,2] 杨数源[1,2] 王明璐 

机构地区：[1]广西桂林市第二人民医院 [2]天津医科大学总医院神经外科

出　　处：《广西医科大学学报》1999年第5期625-627,共3页Journal of Guangxi Medical University

摘　　要：目的：为了更好地认识急性弥漫性颅脑损伤与局灶性颅脑损伤在脑组织破坏以及其他脏器反应上的差别。方法：收集非火器性急性闭合性颅脑损伤病人进行ＣＳＦ髓鞘碱蛋白（ＭＢＰ）检测，肝、肾功能检查，血糖、电解质测定，血气分析，并进行临床ＧＣＳ评分和伤后６个月ＧＯＳ评定。结果：弥漫性颅脑损伤组ＣＳＦＭＢＰ、血糖明显高于局灶组，而ＧＯＳ评分、血氧分压明显低于局灶组。结论：不同预后患者入院时ＣＳＦＭＢＰ水平显著不同，ＣＳＦＭＰＢ水平越高，预后越差。综合分析ＣＳＦＭＢＰ、血糖、血氧分压及ＧＣＳ评分，能正确评价弥漫性颅脑损伤的伤情和预后。Objective:To better understand the difference of brain damage and the reaction of other organs between the diffuse craniocerebral injury(DCI) and local craniocerebral injury(LCT) Methods:We detected the CSF myelin basic protein(MBP),the funtion of liver and kidney,the blood glocuse,K +,Na +,C1 -,pH,and the pressure of O 2 and CO 2 in blood(Po 2,Pco 2)in acute craniocerebral injury patients after admission,and the GCS and GOS were also tested Results:The GCS,GOS,CSF MBP,blood glucose and Po 2 were correlated with the CSF and MBP Conclusions:We think that the DCI not only has a severe brain damage,but also has some changes in other organs Analyzing the CSF MBP,blood glucose,Po 2 and GCS together,we could make correct conclusions on DCI

关 键 词：颅脑损伤 髓鞘蛋白 血糖 弥漫性 局灶性 

分 类 号：R651.15[医药卫生—外科学]