Children with diffuse axonal injury diagnosis and treatment of.docVIP

 PAGE \* MERGEFORMAT 7 Children with diffuse axonal injury diagnosis and treatment of Of: Zou Qin, Yang niche, Zou Yunlong, Wu Xiaobing, Yang Wen Ren [Abstract] retrospectively reviewed 67 patients with diffuse axonal injury in children (DIA) of the clinical presentation, CT and MRI findings and treatment. That the DIA’s disability in children, high mortality, and early diagnosis, effective integrated treatment is to reduce mortality and morbidity of the key. [Keywords:] brain injury; axonal injury; children Our department from June 1999 ~ October 2008 67 patients were treated in children with diffuse axonal injury, are summarized as follows. Clinical data 1 General Information of this group 67 cases, 45 cases were male and 22 females; aged 8 months to 14 years, with an average of 8.6 years. The causes of injury: 34 cases of road traffic injuries, falls injuries in 13 cases, 5 cases of combat injuries , fall in 15 cases. 2 Clinical manifestations on admission GCS score: 3 to 5 minutes in 21 cases, 6 to 8 minutes and 36 cases, 9 to 12 points in 10 cases. This group of patients had primary coma after injury and lasted more than 6 hours. Admission of a lateral mydriasis, 19 cases of direct light reflex, bilateral mydriasis fixed in 5 cases, 4 cases to the state of the brain tonic, respiratory abnormalities in 21 cases, systolic blood pressure less than 90mmHg 25 cases, 56 cases of vomiting. 3 CT or MRI examination 67 patients underwent emergent head CT scan examination and found no obvious abnormality in 11 cases. The rest were a bit like bleeding or a small hematoma, gray junction hemorrhage in 31 cases, the corpus callosum hemorrhage in 8 cases, intraventricular hemorrhage, 9 cases 3 cases of hemorrhage in the brain stem area .22 cases with subarachnoid hemorrhage, skull fracture in 15 cases, 18 cases of acute subdural hematoma, 28 patients had ventricular system ?p ?p lateral cistern basal cistern compression or smaller. CT review found