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不典型急性硬膜外与硬膜下血肿的CT鉴别
引用本文:崔连旭,王辉,邓其峻,梁学军. 不典型急性硬膜外与硬膜下血肿的CT鉴别[J]. 中国临床医学影像杂志, 2005, 16(6): 311-313
作者姓名:崔连旭  王辉  邓其峻  梁学军
作者单位:广东省佛山市第一人民医院神经外科,广东,佛山,528000
摘    要:目的:探讨颅脑损伤不典型急性硬膜外与硬膜下血肿的CT影像学特征及鉴别要点。方法:回顾性分析CT影像学表现不典型的79例病例,与术中证实或后期CT复查及MRI等的确诊结果相比较、分析。结果:首次CT平扫检查误诊率较高。结论:不典型急性硬膜外与硬膜下血肿在CT影像学鉴别诊断上相对困难,需要较高的技巧,有时需要CT复查或MRI检查及相关临床资料辅助。

关 键 词:血肿,硬膜外  血肿,硬膜下  体层摄影术,X线计算机
文章编号:1008-1062(2005)06-0311-03
收稿时间:2005-03-23
修稿时间:2005-03-23

CT features and differential diagnosis of atypical acute epidural hematoma and subdural hematoma
CUI Lian-xu,WANG Hui,DENG Qi-jun,LIANG Xue-jun. CT features and differential diagnosis of atypical acute epidural hematoma and subdural hematoma[J]. Journal of China Clinic Medical Imaging, 2005, 16(6): 311-313
Authors:CUI Lian-xu  WANG Hui  DENG Qi-jun  LIANG Xue-jun
Abstract:Objective: To discuss the atypical CT imaging characteristics of acute epidural hematoma and subdural hematoma in head injuries. Methods: The atypical CT imaging characteristics in 79 cases were analysed retrospectively, the results were compared with surgical operation, CT follow-up and MRI examination. Results: There is rather high erroneous diagnostic rate according to the first CT scan imaging. Conclusion: It is difficult to make differential diagnosis for atypical CT features of acute epidural hematoma and subdural hematoma, it relies on experienced technique, CT follow-up and MRI examination.
Keywords:hematoma   epidural  hematoma   subdural  tomography   X-ray computed
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