200 cases of the CT diagnosis of traumatic brain injury.docVIP

 PAGE \* MERGEFORMAT 13 200 cases of the CT diagnosis of traumatic brain injury Keywords: CT diagnosis of traumatic brain injury The current traffic incidents and increasing number of other mechanical trauma, of which more see traumatic brain injury. Authors from May 2005 to March 2007 by 200 patients with traumatic brain injury patients with CT scan analysis, concluded the prognosis and guide treatment, clinically significant value. Report are as follows. A clinical data 1.1 General Information This group of 200 cases in 130 cases of male and female 70 cases; aged 30d ~ 75 years old, to a maximum of 25 ~ 50 years old; trauma most common reasons for traffic accidents, a total of 160 cases. 1.2 Methods Use SIEMENS SOMATOM.AR.novaCT machine to OM as the baseline, since the base of the skull to the top of the scan, slice thickness, layer away from the 10mm, continuous scanning of about 10 layers. Scan time on each floor for 3s. 1.3 Effect of indicators Efficacy: good (return to work, study) 170 cases, the residual (self-care) in 12 cases, severe disability (need to take care of others) in 8 cases, plant survival of two cases of death in 8 cases. 2 CT manifestations 2.1 scalp injury 82 cases (41%) are mainly scalp hematoma, scalp laceration, or avulsion of the scalp. CT manifestations of scalp, scalp hematoma increased the density of local-limited shadow, can be multiple; subgaleal hematoma of the scalp than the limitations of high density crescent-shaped shadow; skin product gas as a point-like, low-density shadow, CT value of about -- about 150 ~ 1000 Hu; subcutaneous foreign body, the majority of multiple-point-like increased density of polar shadow, mostly iron filings, sand, broken glass, and so on, a small number of the performance of low-density, such as wood chips and so on. 2.2 skull fracture 65 cases (32.5%), of which 7 cases of fracture of the frontal bone,