| 外伤性急性脑肿胀CT分型与临床治疗探讨 |
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| 引用本文： | 王国平,詹荣举,刘青,俞忠.外伤性急性脑肿胀CT分型与临床治疗探讨[J].实用全科医学,2010,8(4):422-422,465. |
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| 作者姓名： | 王国平 詹荣举 刘青 俞忠 |
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| 作者单位： | 皖南医学院第二附属医院神经外科,安徽省芜湖市,241000 |
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| 摘 要： | 目的探讨外伤性急性脑肿胀患者的CT分型及治疗方法。方法对72例外伤性急性脑肿胀患者,根据其24h内CT征象中线结构是否移位〉5mm为标准,分为A、B、C三组：一侧半球脑肿胀,但中线移位≤5mm为A组; 中线移位〉5mm为B组; 双侧半球弥漫性脑肿胀,不论中线是否移位为C组,分析治疗效果。结果A、B和C三组患者手术生存率分别是78.6%、76.2%和40.0%。A、B组和C组比较差异有统计学意义（P〈0.05）; A、B组手术与非手术生存率为77.1%和38.4%（P〈0.05）; C组手术与非手术生存率为40%和33.3%,差异无统计学意义（P〉0.05）。结论根据CT分型选择不同的治疗方式及恰当的手术时机是提高TABS生存率的关键。
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| 关 键 词： | 脑外伤 脑肿胀 CT 临床治疗 |
The CT Typing and Clinical Therapeutic Study for Post-traumatic Acute Brain Swelling |
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| WANG Guo-ping,ZHAN Rong-ju,LIU Qing,et al..The CT Typing and Clinical Therapeutic Study for Post-traumatic Acute Brain Swelling[J].Applied Journal Of General Practice,2010,8(4):422-422,465. |
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| Authors: | WANG Guo-ping ZHAN Rong-ju LIU Qing |
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| Institution: | WANG Guo-ping,ZHAN Rong-ju,LIU Qing,et al.Department of Neurosurgery,the Second Affiliated Hospital of Wannan Medical College,Wuhu 241000,Anhui,China |
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| Abstract: | Objective To investigate the CT typing and therapeutic measures of traumatic acute brain swelling(TABS).Methods Clinical efficiency was studied,72 cases with TABS were divided into 3 group based on CT scanning middle line shift more or less than 5 mm within 24 hours:Hemisphere brain swelling plus middle line shift less than 5 mm(group A),middle line shift more than 5 mm(group B),and bilateral brain swelling(group C,despite of shift).Results The post-operation survival rates of group A,B and group C were78.6... |
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| Keywords: | CT |
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