论文部分内容阅读
目的:探讨弥漫性轴索损伤的临床及影像特征,提高诊疗水平。方法:回顾性分析32例弥漫性轴索损伤患者的临床、影像资料及治疗方法。结果:根据GOS评分,16例(50.0%)良好+中度残疾者5例手术治疗,11例高压氧治疗;9例(28.1%)植物生存,其中5例有“中间清醒期”;7例(21.9%)死亡。结论:弥漫性轴索损伤患者意识障碍重,部分患者有“中间清醒期”但易恶化,预后差。影像学特征是诊断的主要依据,加强重症监护,及时复查CT/MRI,采取有效救治措施是提高生存率及患者生存质量的关键。
Objective: To investigate the clinical and imaging features of diffuse axonal injury and to improve the diagnosis and treatment. Methods: The clinical data, imaging data and treatment of 32 patients with diffuse axonal injury were retrospectively analyzed. Results: According to the GOS score, there were 5 cases of operation in 16 cases (50.0%) with good or moderate disability, and 11 cases of hyperbaric oxygen therapy. Nine cases (28.1%) of the plants survived, of which 5 cases had Seven patients (21.9%) died. Conclusion: The patients with diffuse axonal injury have severe disturbance of consciousness, and some patients have “intermediate awake ” but they are apt to deteriorate with poor prognosis. Imaging features are the main basis of diagnosis, strengthen intensive care, timely review of CT / MRI, to take effective treatment measures is to improve the survival rate and quality of life of patients is the key.