摘要
目的：在急性脑外伤患者的ＣＴ片研究脑弥漫性轴索损伤（ＤＡＩ）的ＣＴ征象，目的是为ＤＡＩ的诊断提供影像学依据。材料与方法：回顾性分析经临床确诊的４０例ＤＡＩ患者的早期ＣＴ表现，结合文献提出ＤＡＩ的ＣＴ诊断标准：脑白质内单发或多发无占位效应的小出血灶（直径小于２ｃｍ），中线结构无移位；蛛网膜下腔出血（ＳＡＨ）或脑池内出血；脑室内出血；弥漫性脑肿胀。结果：４０例ＤＡＩ早期ＣＴ表现：脑白质内单发或多发小出血灶（大脑半球１８例，基底节区３例，胼胝体２例，丘脑区１例），ＳＡＨ或／和脑地内出血１６例，脑室内出血９例，弥漫性脑肿胀４０例。结论：作者认为，上述ＣＴ诊断标准与临床ＤＡＩ患者的早期ＣＴ表现相符，为临床诊断ＤＡＩ提供可靠依据。
The purpose of this aticle is to study the CT signs in diffuse axonal injury(DAI)of acute brain injury.Materials and Methods:CT signs of 40 cases of DAI confirmed clinically were reviewed.The criterion of CT diagnosis consists:Of the presence one or more hemorrhagic lesions(less than 2cm in diameter)at white matter without space occupying effect,and no middle line structure deviation;subarachnoid hemorrhage(SAH)or intracerebral cisterna hemorrhage.intraventricular hemorrhage and acute diffuse brain swelling.Results:CT scans of 40 cases with DAI of early phase showed one or more small hemorrhage lesions less than 2cm in diameter at cerebralhemisphere 18 cases, basal nuclei 3,copus collosum 2,thalamus 1,SAH and/or intracerebral cisterna hemorrhage 16 and intraventricular hemorrhage 9.All cases showed acute brain swelling.Conclusion:It is believed that the criterion of DAI in CT imaging were corresponded to that of in clinic. CT can provide reliable evidence for clinical diagnosis of DAI.
出处
《临床放射学杂志》
CSCD
北大核心
1996年第2期76-78,共3页
Journal of Clinical Radiology
