摘要
报告57例脑弥漫性轴索损伤,占同期重型颅脑损伤的21%,其主要临床特征是大多数病人为车祸致伤,伤后立即持续昏迷,CT显示无占位效应的脑白质内单发或多发小出血灶以及脑室、脑池和蛛网膜下腔出血等改变。本文结合文献对弥漫性轴索损伤的临床诊断和治疗进行了讨论。
Fifty- seven patients with DAI are reported, It composed 12% of all severe head injury. The most of patients were due to traffic accident, persistant coma came immediately after injury, and there was no single or multiple bleeding focuses existing in the cerebral white matter in CT scaning. Combining the review of related literatures, clinical diagnosis and treatment of DAI is discussed in this paper.