| 弥漫性轴索损伤的临床特点及治疗 |
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| 引用本文： | 李卫贤,杨林,魏璐城.弥漫性轴索损伤的临床特点及治疗[J].中国校医,2005,19(3):233-235. |
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| 作者姓名： | 李卫贤 杨林 魏璐城 |
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| 作者单位： | 遵义医学院第五附属医院神经外科,广东,珠海,519100 |
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| 摘 要： | 目的分析弥漫性轴索损伤(DAI)的临床特点、诊断方法、治疗措施以及预后情况，以总结经验，提高疗效。方法对我科1993年1月～2004年1月收治的126例弥漫性轴索损伤患者进行回顾性分析。结果本组病例治疗后GOS评分为良好38例，占30．1％；中残21例，占16．7％；重残13例，占10．3％；死亡54例，占42、9％。结论脑损伤后持续昏迷超过6h，CT扫描正常或脑内可见点状高密度影，颅内无占位效应者可诊断为DAI。DAI预后差，目前仍缺乏有效的治疗措施。
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| 关 键 词： | 弥漫性轴索损伤 临床特点 2004年1月 治疗措施 回顾性分析 1993年 GOS评分 无占位效应 诊断方法 持续昏迷 脑损伤后 高密度影 CT扫描 DAI 伤患者 治疗后 预后差 |
| 文章编号： | 1001-7062(2005)03-0233-03 |
| 修稿时间： | 2005年2月28日 |
Clinical characteristics and treatment with diffuse axonal injury |
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| LI Wei-xian,YANG Lin,WEI Lu-cheng.Clinical characteristics and treatment with diffuse axonal injury[J].Chinese Journal of School Doctor,2005,19(3):233-235. |
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| Authors: | LI Wei-xian YANG Lin WEI Lu-cheng |
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| Institution: | LI Wei-xian,YANG Lin WEI Lu-cheng. Department of Neurological Surgery,Fifth Affiliated Hospital of Zunyi Medical College,Zhuhai 519100,Guangdong,China |
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| Abstract: | Objective To study the clinical features, diagnostic methods, treatment and prognosis of diffuse axonal injury (DAI). Methods A total of 126 cases with DAI were summarized retrospectively from January 1993 to January2004. Results According to the Glasgow Outcome Scale, good recovery was in 38 cases (30. 1%), vegetative state in 34 cases (27%), death in 54 cases (42.9%). Conclusions It could be diagnosed of DAI that coma exceeds 6 hours after brain trauma, and computed tomography indicates normal or high dense image and no center live deviation. DAI' s outcome is bad, and the treatment is not effective at present. |
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| Keywords: | Diffuse Axonal Injury Coma Past-Head Injury Glasgow Coma Scale |
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