外伤性蛛网膜下腔出血的螺旋CT诊断实用价值

目的评价螺旋CT对外伤性蛛网膜下腔出血(tSAH)的应用价值。方法回顾性分析71例tSAH的螺旋CT表现。结果71例中,脑外侧裂池24例,纵裂池19例,脑沟16例,小脑幕8例,环池2例,四叠体池2例。合并脑挫裂伤12例,硬膜下血肿7例,脑室出血5例,颅内积气3例,颅骨骨折4例,硬膜下积液1例,脑积水1例,额叶脑梗死1例,脑疝3例,合并多种损伤死亡5例。结论螺旋CT是tSAH首选诊断方法,具有重要的临床应用和诊断价值。

Diagnostic value of spiral CT for traumatic subarachnoid hemoyyhage

Objective To evaluate Spiral CT finding and diagnostic value of traumatic subarachnoid hemoyyhage. Methods CT features of traumatic subarachnoid hemoyyhage in 71 cases retrospectively analyzed. Results In 71 cases, 24 cases were brain flank crack pond, 19 cases were longitudinal crack pond, 16 cases were brain sulci, 8 cases were epeneephal tent, surround crack pond, 2 cases were corpora crack pond. 12 Cases were cerebral contusion and laceration, 7 cases were ventricle, 5 cases were subdural hematoma, 3 cases were cranium gas accumulated, 4 cases were effracture, 1 case was subdural fluid accumulation, 1 case was hydrocephalus, 1 case was frontai lobe infarction, 5 cases were brain hernia, 5 cases were died of merge various damages. Conclusion Spiral CT is first select diagnosis mothod and has more value in clinical practical and diagnosis of traumatic Subarachnoid hemoyyhage.