便携式诊断设备在创伤性颅内血肿中应用的研究进展  

Research progress in portable diagnosis devices for traumatic intracranial hematoma

作　　者：俞逸捷 程展 陈超 徐志豪 王宏坤 王洪祥 吕胜青 陈菊祥 Yu Yijie;Cheng Zhan;Chen Chao;Xu Zhihao;Wang Hongkun;Wang Hongxiang;Lyu Shengqing;Chen Juxiang(Department of Neurosurgery,First Affiliated Hospital,Naval Medical University,Shanghai 200433,China;Department of Neurosurgery,Second Affiliated Hospital,Army Medical University,Chongqing 400037,China)

机构地区：[1]海军军医大学第一附属医院神经外科,上海200433 [2]陆军军医大学第二附属医院神经外科,重庆400037

出　　处：《中华创伤杂志》2023年第4期371-377,共7页Chinese Journal of Trauma

基　　金：国家自然科学基金(81872072);全军高层次创新人才工程项目(BJRC⁃CJX);上海领军人才项目(LJRC⁃CJX)。

摘　　要：创伤性颅内血肿的病情进展迅速,可能引发颅内压迅速增高,严重者形成脑疝,进而导致昏迷甚至死亡。因此,发生创伤性颅内血肿时需及时救治,而救治的先决条件在于早期检查和诊断。由于运输条件限制等原因,现有的CT和MRI等大型检测设备无法在救治现场或患者转运途中展开,而便携式诊断设备具有小型化和高灵活性等特点,有利于早期检查、辅助诊断,并进一步指导治疗方案的制订。目前,便携式诊断设备在颅内血肿诊断方面越来越受到关注。笔者就创伤性颅内血肿的常规诊断方法、便携式诊断设备的应用等方面对创伤性颅内血肿诊断设备的研究进展进行综述,为创伤性颅内血肿的诊断提供参考。Traumatic intracranial hematoma progresses rapidly and may cause quick increase of intracranial pressure and even brain hernia,ultimately leading to coma or death.Therefore,traumatic intracranial hematoma needs prompt treatment,but the prerequisite of treatment is early examination and diagnosis.Due to the limited transportation and other reasons,the existing large⁃scale detection devices such as CT and MRI cannot be deployed on the rescue site or during patient transportation.Instead,the portable diagnosis devices have the characteristics of miniaturization and high flexibility,which is conducive to promoting early detection,assisting diagnosis and further guiding the formulation of treatment plans.At present,more and more attention has been paid to the portable diagnosis devices in the diagnosis of intracranial hematoma.The authors summarized the conventional diagnosis methods and application of portable diagnosis devices for traumatic intracranial hematoma,aiming to provide a reference for the diagnosis of traumatic intracranial hematoma.

关 键 词：血肿 硬膜下 颅内 颅内出血 设备和供应 诊断技术和方法 创伤性 

分 类 号：R651.15[医药卫生—外科学]