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| 急性重型颅脑损伤后瞳孔改变的临床意义及预后分析 | |
| 引用本文： | 贾玉琴 张殿文. 急性重型颅脑损伤后瞳孔改变的临床意义及预后分析[J]. 内蒙古医学杂志, 2000, 32(4): 274-275 |
| 作者姓名： | 贾玉琴 张殿文 |
| 作者单位： | [1]包头医学院第二附属医院ICU [2]中国人民武装警察部队包头武警医院外科 |
| 摘 要： | 目的：探讨瞳孔改变对急性重型颅脑损伤的临床指导及预后分析；方法：对１７２例急性重型颅脑损伤患者的瞳孔改变进行观察分析；结果：颅内血肿的瞳孔改变占８６．２％，脑挫裂伤占４２．５％，原发性脑干伤及弥漫性轴索损伤占８７．５％；而且瞳孔的单双眼改变和对光反射提示不同的临床意义及预后。结论：急性重型颅脑损伤近８０％发生瞳孔改变，正确观察和判断这些改变，对判断病情，指导临床治疗和估计预后有重要的临床意见。 |
| 关 键 词： | 急性 重型颅脑损伤 瞳孔 预后 |
Clinical significance and prognosis of the pupil changes in acute severe head injury patients |
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| JIA Yu qin ,ZHANG Dian wen ,WANG Yan hua ,LU Guo mao. Clinical significance and prognosis of the pupil changes in acute severe head injury patients[J]. Inner Mongolia Medical Journal, 2000, 32(4): 274-275 | |
| Authors: | JIA Yu qin ZHANG Dian wen WANG Yan hua LU Guo mao |
| Affiliation: | JIA Yu qin 1,ZHANG Dian wen 2,WANG Yan hua 1,LU Guo mao 1 |
| Abstract: | Objective:To investigate the Clinical significance and prognosis of pupil changes in acute severe head injury patients;Methods:The changes of pupil in 172 cases of acute severe head injury patients were analyzed;Results:The changes of pupil in intracranial hematoma patients is 86.2%,in contusion and laceration of brain patients is 42.5%,in primary injury of brain stem and diffuse axonal injury is 87.5%.The changes of pupil with single or double and pupillary light reflex reflects the degree of illness,judges the prognosis.Conclusion:There are about 80% Changes of pupil in acute severe head injury patients.It has an important clinical significance in evaluating patient's condition,monitoring the clinical treatment and judging prognosis. [ |
| Keywords: | Severe head injury Pupil Prognosis |
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