摘要
目的探讨弥漫性轴索损伤（DAI）的发病机制、临床特点、诊断及治疗方法。方法观察分析48例DAI患者的临床表现、影像学表现、治疗及预后。结果按GOS评分结果，治愈18例，中残12例，重残或植物生存10例，死亡8例。结论保持呼吸道通畅，防治脑水肿，采用高压氧及早期应用大剂量纳络酮等综合治疗，是提高DAI救治成功率的关键。
Objective To discuss the clinical feature,diagnostic main points and treatment of diffuse axonal injury（DAI）. Methods The clinical materials and imaging findings and treatment and prognosis of 48 cases with DAI were analyzed retrospectively. Results 18 cases showed a good outcome, while 12 were moderately disabled, 10 severely disabled or survived in a permanent vegetative state and 8 cases died. Conclusion To preserve the fluent respiratory tract, to control intracranial pressure, to treat with hyperbaric oxygenation and high-dose naloxone in early time were crucial in clinical practice to DAI.
出处
《中国基层医药》
CAS
2009年第7期1197-1198,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
弥漫性轴索损伤
诊断
治疗
Diffuse axonal injury
Diagnosis
Treatment
