弥漫性轴索损伤临床分析(附46例报告)

CLINICAL ANALYSIS OF DIFFUSE AXONAL INJURY-46 CASES REPORTS

目的 :探讨弥漫性轴索损伤的发生机制、诊断和治疗 ;方法 :回顾性总结本院诊断为弥漫性轴索损伤的 46例病人的发病原因、临床表现、CT扫描征象 ;结果 :车祸伤 3 9例(84.8% )、坠落伤 4例 (8.7% )、打击伤 3例 (6.5% )。伤后持续昏迷状态 44例 ,2例有中间清醒期。CT表现大脑白质、皮层区、胼胝体、肝干等处散在点状或小片状出血灶 (直径 <2cm) 3 6例 ,合并弥漫性脑肿胀 3 4例 ,蛛网膜下腔出血、脑池或脑室内出血 1 8例 ,合并有硬膜下或硬膜外薄层血肿 9例 ;结论 :弥漫性轴索损伤病情重 ,死亡率高 。

To review the diagnostic, therapeutic ways and p at hogenesis of diffuse axonal injury.Method:The data of 46 cases w ith diffuse axonal injury were reviewed to understand the pathogenesis and other clinical problems.Results:39 of 46 cases were resulted in traff ic events (84.8%), 4 cases (8.7%) in failing, and 3 cases (6.5%) in hammering. C T diagnosis sowed that there were bleed and swelling in brain.Conclusion :The diffuse axonal injury is a severe disease and has a higher mortalit y; its treatment would be a complete and general way.