脑中线区出血性损伤与脑弥散性轴索损伤的预后分析

目的探讨CT显示脑中线区出血性损伤对DAI患者预后的影响。方法选择经CT证实脑内存在出血灶的诊断为DAI的住院患者43例。测量D,根据D将患者分组,采用Glasgow昏迷积分和Glasgow预后评定方法评估患者的病情及预后。结果D≤2cm者,其Glasgow积分和Glasgow预后评分明显低于D〉2cm者。结论出血性损伤距中线的距离与DAI患者的预后密切相关,可作为判断DAI预后的指标。

Prognosis of DAI with traumatic hemorrhage and diffuse axonal injury in brain midline areas

Objective To explore the prognosis of diffuse axonal injury with traumatic hemorrhage in midline brain areas by CT, Methods 43 inpatients with DAI were chosen in this study,all of which had been demonstrated hemorrhagic lesion in brain tissue by CT. the distance （D） between the hemorrhage and brain midline were measured. Patients were divided into two groups in accordance with D,Glasgow coma scale and Glasgow outcome scale was used to assess the gravity and prognosis of injury. Results GCS and GOS score in the group with D ≤ 2 cm was significantly lower than that in the other group. Conclusion the distance between the hemorrhagic lesion and the brain midline was closely relative to the prognosis of patients with DAI, and it could he taken as a marker to estimate the prognosis of DAI.