CT在脑疝诊断治疗中的临床应用分析

Clinical Application of CT in the Diagnosis and Treatment of Hernia

分析CT在脑疝诊断治疗中的应用价值。回顾性分析自2010年1月-2014年1月颅脑损伤、自发性颅内出血及颅内肿瘤283例出现脑疝患者的CT及诊疗结果资料。结果颅脑损伤148例、自发性颅内出血116例，肿瘤性19例。入院时既有脑疝者218例、治疗过程中出现继发性脑疝者65例。所有患者均行头部CT扫描，其中小脑幕切迹疝179例，枕骨大孔疝69例，大脑镰下疝35例。开颅手术128例、侧脑室外引流30例、锥颅血肿抽吸或冲洗术52例、非手术治疗73例。出院时死亡95例、重度致残107例、轻度致残56例，良好25例。连续动态CT监测可尽早发现脑疝，指导治疗。

To analyze the application value of CT in the diagnosis and treatment of cerebral herniation. The authors retrospectively collected data from January 2010 to January 2014 with traumatic brain injury,spontaneous intracranial hemorrhage cerebral hernia and tumor in 283 cases of CT diagnosis and outcome information. 148 cases of craniocerebral injury, 116 cases of spontaneous intracerebral hemorrhage, tumor in 19 cases. 218 admission both cerebral hernia cases occurred during the treatment of 65 cases with cerebral hernia following. All patients underwent head CT scan, 179 cases of cerebellar incisura hernia, hernia 69 of occipital bone, brain hernia： a report of 35 cases of sickle. 128 patients undergoing craniotomy and lateral external ventricular drain 30 cases, cranial hematoma aspiration and lavage of 52 cases, non-surgical treatment of 73 cases. When 95 deaths, severe disability, 107 cases of mild disability in 56 cases, good in 25 cases. Continuous dynamic monitoring of CT cerebral hernia can be found as soon as possible to guide treatment.