弥漫性轴索损伤的临床诊治

Clinical Diagnosis and Treatment of Diffuse Axonal Injury

【目的】探讨弥漫性轴索损伤(DAI)的影像学表现、诊断及处理方法。【方法】回顾性分析56例DAI患者的临床和影像学资料、治疗预后。【结果】本组DAI患者按GOS预后评分,死亡18例(32.14%),植物生存3例(5.36%),重残10例(17.86%),中残12例(21.43%),恢复良好13例(23.21%)。【结论】DAI的诊断主要根据其临床表现结合CT、MRI资料。治疗上以保守综合治疗为主。

[Objective] To investigate the pathogenesis, imaging findings,diagnosis and therapeutic methods of diffuse axonal injury （DAD）. [Methods] The clinical data and imaging findings of 56 cases were analyzed retrospectively. [Results] According to the GOS, 18 patients were dead（32. 14%）, 3 patients survived in a vegetative state （5.36% ）, 10 patients showed severe disability（ 17.86 % ）, 12 patients showed moderate disability（21.43 %）,and 13 patients had good recovery（23. 21% ）. [Conclusion] The diagnosis of DAI is mainly based on the clinical appearance and imaging findings. Comprehensive interventions should be applied for the treatment bf DAI.