急性颅脑外伤CT表现与临床分级的相关性  

Acute Craniocerebral Trauma:Correlation between CT Manifestations and Clinical Grades

作　　者：柯祺[1] 许灼新[1] 周守国[1] 张红军[1] 

机构地区：[1]广东省佛山市中医院CT室

出　　处：《江西医学院学报》1998年第1期89-92,共4页Acta Academiae Medicinae Jiangxi

摘　　要：收集１８４例急性颅脑外伤病例进行头颅ＣＴ扫描，根据Ｇｌａｓｇｏｗ昏迷分级作临床分级评定，就其ＣＴ表现与临床分级进行相关性分析。结果：部分轻、中度颅脑外伤ＣＴ未见异常；局灶性与弥散性颅脑外伤的临床分级差异较为明显（Ｐ＜０．０５），且局灶性颅脑外伤的临床分级因颅内出血量及脑中线移位距离不同有所差异（Ｐ＜０．０１）；单纯性与复合性颅脑外伤的临床分级差异显著（Ｐ＜０．０１），但单纯性外伤的损伤类型与临床分级无明显关联，复合性外伤是否合并颅骨骨折与临床分级无关联。结论：颅脑外伤的病变分布方式、损伤的类型、颅内出血量及脑中线移位距离与神经功能的损伤程度有关。ne hundred and eighty four patients with acute craniocerebral trauma underwent CT scanning and their clinical grades were assessed with Glasgow Coma Scale (GCS). Thecorrelation between CT manifestations of acute craniocerebral trauma and their clinicalgrades was studied.Results:CT manifestations would be normal in some patients withmild and moderate injury.There was significant difference in clinical grades between focal injuries and diffuse injuries (P<0.05) . In patients with focal craniocerebral injury,the clinical grade correlated with both the volume of intracranial hemorrhage and distance of midline shift.There was significant difference in clinical grades between simple injuries and complex injuries (P<0.01).The clinical gradation of simple craniocerebral injuries,did not correlate withthe type of lesions.That of complex craniocerebral injuries, did not correlate with whether there was or was not skull fracture.It is concluded that:The severity of neurologic dysfunction of patients with acute craniocerebral trauma is related to the types of injury,the distribution of intracranial lesion,the size of intracranial hemorrhage,and the distance of cerebral midline shift.

关 键 词：急性颅脑外伤 CT表现 临床分析 相关性 

分 类 号：R651.15[医药卫生—外科学]