重型颅脑损伤后基底池改变在预后判断中的应用

Predicting prognosis by changes of basal cistern for sever head injury

目的：探讨不同类型重型颅脑损伤（SHI）患者的预后与CT片上基底池（BC）改变的关系．方法：将随机收治的不同类型的SHI42例，按CT片上BC消失与否分成两组进行预后对比分析．结果：两组中存活与死亡的比例分别是：Be消失组为33．3％、66.7％，BC未消失组为76．7％、23．3％．结论：BC消失提示预后不良，BC改变可单独作为SHI预后判断的指标。

Objective: To discuss the relationship between the prognosis of different types of sever head injury(SHI) and the changs of basaI cistem(BC) on CT Method:42 cases of SHI were divided into two groups-one growp with disappearance of BC on CT and another with appearance of BC. Results: The proportions of survivors and deaths among each group were 33.3%、 66.7%and 76.7%, 23.3% respectively. Conclusion: Disappearance of BC suggested a bad prognosis and the changes of BC could predict prognosis alone.