重型颅脑外伤CT表现与临床预后的关系

Correlation between CT findings and clinical prognosis in severe craniocerebral trauma

目的探讨重型颅脑外伤患者的CT表现与临床预后之间的关系。方法收集我院96例重型颅脑损伤患者的CT影像表现及相关临床资料,分析不同CT影像表现与临床预后的关系。结果 96例患者中,急性硬膜下血肿33例,死亡9例,病死率27%,较其他颅内血肿明显增高(P<0.05)。颅内血肿容积>30 mL者,其病死率明显高于<30 mL患者(P<0.05);>50 mL者,其病死率71%。中线结构移位>10 mm的患者病死率明显高于<10 mm者(P<0.05),>15 mm者,其病死率达75%。环池、四叠体池重度受压闭塞患者病死率高达82%。结论 CT显示重型颅脑损伤后的颅脑改变与临床预后有关,这有利于临床医生制定合适的治疗方案。

Objective To investigate the correlation between CT findings and clinical prognosis in severe cranioc-erebral trauma.Methods The correlation between CT findings and clinical prognosis were analyzed in 96 cases severe craniocerebral trauma.Results In 96 cases,33 cases were acute subdural hematoma,9 cases of them died,death rate was 27%,it was stactistically higher than the rate of other intracranial hematoma（P0.05）.Their death rate of intracranial hematoma volume 30 mL was higher than that of 30 mL（P0.05）.The hematoma 50 mL,its death rate was 71%.The death rate in halfway line shifting 10 mm was more than that 10 mm（P0.05）.Its death rate of the shifting 15 mm was 75%.The death rate reached 82% in annular and quadrigeminal cistern disappearing.Conclusion The CT findings is correlated with clinical prognosis in craniocerebral trauma.It is benefit for clinical treatment project.