外伤性脑疝术后脑梗死早期CT表现及诊断价值

The Value of Early Manifestations of CT and Diagnosis of Cerebral Infarction After Traumatic Cerebral Hernia Surgery

目的研究分析脑疝术后脑梗死早期患者接受CT诊断的价值和效果。方法根据2008年1月~2013年6月我院的37例外伤性脑疝术后合并脑梗死患者进行研究分析,为患者使用手术清除血肿,去骨瓣减压,常规止血和抗感染治疗,术后24 h对患者接受CT诊断的效果和价值进行分析。结果术后24 h复查检出脑梗死6例,24~48 h检出13例,3~6 d检出18例,大面积梗死21例,小灶性梗死16例;5例患者强化CT结果显示为大脑动脉或分支动脉狭窄、闭塞,后期复查出现梗死灶;预后良好率62.16%。结论脑疝术后脑梗死早期患者的CT会出现豆状核轮廓模糊、脑动脉致密血管征、岛带及基底核消失征等特征,可以以此作为诊断标准,早期确诊能够提升治疗效果。

Objective To study the effect of CT diagnosis value of cerebral hernia postoperative early cerebral infarction patients. Methods Selected 37 cases of injury cerebral hernia after surgery combined with cerebral infarction patients from to January 2008 to June 2013 in our hospital to research and analysis,patients using surgical removal of the hematoma, decompressive craniectomy, the routine hemostatic and anti infection treatment, postoperative 24 hours of patients accepted the effect and value of CT in the diagnosis of analysis. Results Postoperative 24 hours review cerebral infarction were detected in 6 cases, 24 to 48 hours found in 13 cases, 3 to 6 days detection in 18 cases, 21 cases of large area of infarction, focal infarction in 16 cases, 5 cases with enhanced CT showed cerebral artery or branch artery stenosis, occlusion and during the later period of reexamination appear infarction, prognosis is good rate of 62.16%. Conclusion Cerebral hernia in CT of cerebral infarction patients with early will lentiform nucleus vague outline, dense vascular symptoms of cerebral artery, island and basal nuclei disappear syndrome characteristics, can this as the standard of diagnosis and early diagnosis to improve the therapeutic effect.