脑弥漫性轴索损伤65例诊治体会

目的 探讨脑弥漫性轴索损伤(DAI)的临床诊治方法.方法 回顾分析65例DAI病人的临床资料和影像学特点.结果 治疗结果死亡28例(43.1%),植物生存10例(15.4%),重度残疾17例(26.2%),轻度残疾5例(10.8%),恢复良好3例(4.6%),伴随挫裂伤者43例(66.2%),cr发现出血灶者42例(64.6%).结论 DAI的临床表现与影像学表现不相符,两者结合可以诊断DAI;治疗采用综合治疗.

The Diagnosis and Treatment of Cerebral Diffuse Axonal Injury 65 case

Objective To investigate the clinical diagnostic standard and treatment of cerebral diffuse axonal injury(DAI). Methods The clinical materials and imaging display of 65 cases of DAI were analyzed retrospectively. Results The conservative 28(43.1%) cases of them died, 10(15.4%) cases with subcortical survival, 17(26.2%) cases with severe deficits, 5(10.8%) cases with low disability, 3(4.6%) cases got a good recovery, and 43(66.2%) case contusion and laceration of brain. Find 42(64.6%) case hemorrhagic focus by CT. Conclusion The clinical findings do not totally coinside with the inaging display of DAI. Combining with clinical findings and CT scanning, the diagnosis of DAI can be made. The treatment of DAI is comprehensive.