外伤性迟发性脑内血肿预测的临床研究_临床医学论文.docVIP

外伤性迟发性脑内血肿预测的临床研究_临床医学论文 外伤性迟发性脑内血肿预测的临床研究_临床医学论文 作者：孙育海，顾勤，朱建华，杨伟忠，张余胜，王伟 【摘要】 目的 探讨脑挫裂伤患者脑挫裂伤灶区CT值与该患者同部位正常脑组织CT值的差值变化情况，评价CT差值的变化对迟发性脑内血肿的预期诊断意义。方法 对确诊的60例外伤性迟发性脑内血肿的头颅CT片进行分析，找出脑挫裂伤灶区CT值的差值变化规律，并结合临床特点，总结出脑挫裂伤灶区CT值差值在什么范围内出现外伤性迟发性脑内血肿（DTICH）可能性最大。结果 本组60例中：脑挫裂伤灶区为均匀低密度（Ⅰ型）7例，其脑挫裂伤灶区CT值的差值频数分布无规律性；脑挫裂伤灶区为均匀低密度混杂点状高密度（Ⅱ型）32例，其脑挫裂伤灶区CT值的差值频数分布集中趋势在8～10之间；脑挫裂伤灶区为均匀低密度混杂片状高密度（Ⅲ型）21例，其脑挫裂伤灶区CT值的差值频数分布集中趋势在5～7之间。结论 脑挫裂伤Ⅱ型患者脑挫裂伤灶区CT值的差值在8～10之间及Ⅲ型患者脑挫裂伤灶区CT值的差值在5～7之间发生DTICH可能性较大。 【关键词】 脑挫裂伤;迟发性;脑内血肿;CT值 The forecast of delayed traumatic intracerebral hematoma SUN Yu-hai, GU Qin, ZHU Jian-hua, et al.Zhoupu Hospital of Pudong District, Shanghai 201318，China 【Abstract】 Objective To study the CT values transformation between cerebral contusion and laceration area and the same part of the normal brain tissue of the patient and evaluate the CT values transformation in predicting delayed traumatic intracerebral hematoma （DTICH）.Methods The CT values of sixty patients with DTICH were analyzed. The CT values in which degree cerebral contusion and laceration area were easy to happen DTICH was found by the CT values change disciplinarian on the cerebral contusion and laceration area. Results Among 60 patients, 7 cases were equality low density in cerebral contusion and laceration area （Ⅰ）. The frequency distributing of CT values in cerebral contusion and laceration area was no disciplinary. 32 cases were equality low density with spot high density in cerebral contusion and laceration area （Ⅱ）. The frequency distributing central tendency of CT values in cerebral contusion and laceration area was 8 to 10. 21 cases were equality low density with piece high density in cerebral contusion and laceration area （Ⅲ）. The frequency distributing central tendency of CT values in cerebral contusion and laceration area was 5 to 7.Conclusion DTICH often happens when CT value in cerebral contusion and laceration area is 8 to 10 in （Ⅱ） and CT value in cerebral contusion and laceration area is 5