CT动态观察继发性脑损伤56例临床分析

The value and clinical analysis of the continuous observation of the secondary brain injury with CT: 56 cases report

目的 探讨继发性脑损伤CT动态观察的影像表现和价值。方法 收集 71例脑外伤CT检查及复查结果 ,进行前后对比分析。结果 首次CT检查发现 71例中有 5 6例存在继发性脑损伤 ,其中 2 4例CT复查发现平均 4天病情发生进行性加重 ,加重的病情主要为颅内血肿和脑水肿及肿胀。

Objective To investigate the radiological manifestations and the value of continuous observation of the secondary brain injury with CT.Methods Methods 71 cases with brain injury were collected and the CT manifestations of the secondary brain injury were retrospectively analyzed.Results 56 cases were diagnosed as the secondary brain injury in the first examination with CT and 24 cases were found that states of illness were progressively exacerbated in the second examination with CT in mean 4 days, and intracranial hematoma and cerebral edema were main causes leading to progressive exacerbation.Conclusion The continuous observation with CT can find the distinct image signs of the secondary brain injury in different course and guide the clinical therapy timely and correctly.