脑弥漫性轴索损伤60例临床分析

[目的]了解脑弥漫性轴索损伤（DAI）临床特点及诊断方法，为进一步治疗提供依据。[方法]对60例DAI病人的临床和影像学资料，将原发性脑损伤的特征及治疗进行描述性分析。[结果]DAI是常见的弥漫性脑损伤，脑震荡和原发脑干伤被包含其中，且常常与脑皮质挫裂伤伴发。主要依靠临床经验和CT、MRI诊断。60例DAI伤者中，手术治疗28例（46．66％），恢复良好6例（21．42％），死亡15例（53．57％）；保守治疗32例（53.33％），恢复良好6例（18.75％），死亡14例（43．75％）。[结论]对DAI伤者采取支持及手术治疗等综合措施，可获提较好的疗效。

CLINICAL ANALYSIS OF DIFFUSE ANOX INJURY OF BRAIN OF 60 CASES

[Objective]To study the clinical features of diffuse aonx injury of brain for futher treatment.[Methods]The clinical and imaging findings of sixty cases of DAI and the features of primary injury of brain were analyzed.[Results]DAI was popular in diffuse injury of brain which contained contusion and laceration of brain and primary injury of brain stem and often accompanied by the connntusion and laceration of cortex. Diagnosis of DAI mainly depended on clinical experience,CT and MRI. Among the DAI cases,28 patients were treated surgically,and 6 of them recoveried good(21.42%),15(53.75%)of them dead. 32 patients were treated nonsutgically,and 6(18.75%)of them recoveried good,14(43.75%)of them dead.[Conclusion]Good effect of treatment can be gained with combination treatment of sustainment and operation on the appropriate patients.