| 脑挫裂伤CT与临床分型的应用价值 |
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| 引用本文： | 张合林,展如才,田爱民,齐再利,侯宗来,谢良军. 脑挫裂伤CT与临床分型的应用价值[J]. 中国医疗前沿, 2008, 3(16): 23-24 |
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| 作者姓名： | 张合林 展如才 田爱民 齐再利 侯宗来 谢良军 |
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| 作者单位： | 济南市第三人民医院神经外科 济南市第三人民医院影像中心 |
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| 摘 要： | 目的探讨脑挫裂伤分型在临床治疗中的应用价值。方法对1062例脑挫裂伤患者进行回顾性分析,根据临床表现、CT检查结果及腰穿结果进行临床分型,共分为4型:Ⅰ型为轻度单纯性脑挫裂伤,Ⅱ型为中度局限性脑挫裂伤,Ⅲ型为重度多处脑挫裂伤,Ⅳ型为特重度广泛脑挫裂伤。对每型的预后进行统计学分析。结果Ⅰ-Ⅱ型690例,均治愈,其中,12例伴发脑水肿,7例手术,5例保守治疗,均最后痊愈;Ⅲ型242例,治愈35例,轻残121例,重残36例、植物生存13例、死亡8例;Ⅳ型130例。治愈11例、轻残14例、重残56例、植物生存28例、死亡21例。结论分型级别越高,预后越差。脑挫裂伤分型对临床评估伤情和预后、指导观察和治疗有重要的应用价值。
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| 关 键 词： | 脑挫裂伤 CT 临床 分型 预后 |
Using value of typing on brain contusion and laceration by combining clinical manifastation with CT imaging |
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| Zhang Helin,Zhan Rucai,Tian Ai,min,Qi Zaili,Hou Zonglai,Xie Liangjun. Using value of typing on brain contusion and laceration by combining clinical manifastation with CT imaging[J]. China Healthcare Innovation, 2008, 3(16): 23-24 |
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| Authors: | Zhang Helin Zhan Rucai Tian Ai min Qi Zaili Hou Zonglai Xie Liangjun |
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| Affiliation: | 1Department of neurosurgery; The Third people; s hospital of Jinan Shandong Jinan 250101; 2Medical Imaging Centre; s hospital of Jinan Shandong Jinan 250101); |
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| Abstract: | Objective Discussion about the using value of typing on brain contusion and laceration in clinical treatment. Methods we retrospective analyzed 1062 patients of brain contusion and laceration and took a integative analysis on that of clinical manifastation and CT imaging and lumbar puncture results. Results TypeⅠ-Ⅱ of 690 cases, were cured, of which 12 cases associated with cerebral edema, seven cases of surgery, five cases of conservative treatment, were finally recovered; Type Ⅲ of 242 cases, cured 35 cas... |
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| Keywords: | CT |
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