急性颅脑损伤患者环池形态变化的临床意义

Significance of changes of basal cisterns in patients with acute traumatic brain injury

目的探讨急性颅脑损伤患者环池形态变化及其临床意义。方法对78例急性颅脑损伤患者行中脑水平环池形态的CT扫描,分析其与疗效和预后的关系。结果中脑水平环池形态分为四型:Ⅰ型16例,环池无变化,死亡1例;Ⅱ型20例,环池部分变窄,死亡3例;Ⅲ型22例,环池部分闭塞,死亡8例;Ⅳ型20例,环池完全闭塞,死亡14例。结论了解环池形态变化对颅脑损伤的治疗及预后判断有一定意义。

Objective To explore the significance of the changes of basal cisterns in the patients with acute traumatic brain injury. Methods A total of 8 patients with acute traumatic brain injury was examined by CT scanning of basal cisterns at midbrain level. The relationship between the changes of basal cisterns and the prognosis was analyzed. Results The changes of basal cisterns in 78 cases were divided 4 types. The basal cisterns of type Ⅰ were unchanged in 16 cases,of whom one case died. The basal cisterns of type Ⅱ were partially narrowed in 20 cases,of whom 3 cases died. The basal cisterns of type Ⅲ were partially occluded in 22 cases,of whom 8 cases died. The basal cisterns of typeⅣ were completely occluded in 20 cases,of whom 14 cases died. Conclusion Understanding of the changes of basal cisterns has a certain value of guiding treatment and predicting the prognosis of the patients with acute traumatic brain injury.