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CT对重型颅脑损伤后颅内压和预后估价
引用本文:陈立一,赵革灵.CT对重型颅脑损伤后颅内压和预后估价[J].中国医学影像学杂志,1999,7(3):189-191.
作者姓名:陈立一  赵革灵
作者单位:广东医学院附属医院神经外科!湛江市524001
摘    要:目的:探讨CT 对重型颅脑损伤后颅内压和预后的估价。材料与方法:CT 扫描130 例重型颅脑损伤患者,分析其脑室脑池形态、脑室/ 颅腔比率、中线结构移位等变化特征,对颅内压和预后进行估价,并与颅内压监测结果对照。结果:CT 显示三脑室、基底池受压明显或消失、脑室/ 颅腔比率越小、中线结构移位越严重者,颅内压升高越明显;颅内压越高,预后越差,生存质量越低。结论:CT 能够估价颅内压,并由此指导治疗,判断预后。

关 键 词:颅脑损伤  颅内压  CT

Estimating the Intracranial Pressure and Prognosis by CT Scan in Closed Severe Brain Injury
Chen Liyi,Zhao Geling.Estimating the Intracranial Pressure and Prognosis by CT Scan in Closed Severe Brain Injury[J].Chinese Journal of Medical Imaging,1999,7(3):189-191.
Authors:Chen Liyi  Zhao Geling
Abstract:Purpose: To evaluate the intracranial pressure (ICP) and prognosis by CT scanning in closed severe brain injury. Materials and Methods: 130 cases of severe brain injury underwent the CT scanning. The shape of brain ventricle and cisterns, ratio of ventricle/cranial cavity, shifting of middle structure as well as the monitoring results of ICP were analyzed. The reationship between the CT scanning and ICP were estimated. Results: When the third ventricle and cerebral cisterns were pressed obviously, the smaller ratio of ventricles/cranial cavity was showed. The higher ICP, the poor prognosis corelated with. Conclusion: CT could estimated the ICP and prognosis in svere brain injury.
Keywords:brain injury  ICP  CT
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