脑弥漫性轴索损伤临床诊断问题的初步探讨

Clinical Diagnosis of Diffuse Axonal Injury in Brain

脑弥漫性轴索损伤(DAI)的临床诊断至今仍感困难,目前通过CT扫描结合临床表现对DAI有可能做出诊断。本文报告临床诊断为DAI的病人共38例,其主要临床特征是大多数病人为车祸致伤;伤后立即持续昏迷;CT显示为无占位效应的脑白质内单发或多发小出血灶,以及脑室、脑池和蛛网膜下腔出血等改变。本文结合文献对DAI的临床诊断问题进行初步讨论。

It is still difficult to diagnose the diffuse axonal injury (DAI) clinically, but a mixture of clinical feature and CT scaning may help to diagnose his damage. 38 cases of DAI diagnosed by clinical finding are reported here, in which the most of patients were due to traffic accident, persistant coma came immediately after injury, and there was no single or multiple bleeding focuses existing in the cerebral white matter in CT scaning. Combining the review of related literatures, climical diagnosis of DAI is discussed in this paper.