Diffuse axonal injury 40 cases.docVIP

 PAGE \* MERGEFORMAT 8 Diffuse axonal injury 40 cases On: Sun Jian Shi Ruicheng Suri Feng Shijun Zhang Zhenjun Camp [Keywords:] diffuse axonal injury Referred to as diffuse axonal injury DAI, is the extensive white matter damage of primary closed. It can exist alone or coexist with various types of brain injury, the disability rate, high mortality rate, has become heavy traumatic brain injury is one important cause of death. In this paper, 40 cases of DAI patient’s treatment, analyzed and summarized as follows. 1 Materials and Methods 1.1 Clinical data A total of 40 patients in this group of patients, the patients were treated from 2004-2006 in our hospital in DAI patients. 28 males and 12 females, aged 8 to 56 years, an average of 33 years of age. Injury type: 30 cases of traffic accident , fall injury in 10 cases. Patients Glasgow Coma Scale (GCS less than 8 points. injury patients with varying degrees of coma, bilateral mydriasis, 8 cases were 12 cases of needle-like pupil, the side of the mydriasis 10 cases, 10 cases of alternating pupil. were accompanied by skull fracture, cerebrospinal fluid otorrhea or rhinorrhea in 6 cases. All patients had pyramidal tract signs, positive signs of 28 cases of bilateral pathology, the pathological positive in 12 unilateral cases. the first line of all cases on admission CT examination revealed skull base structures is unclear, diffuse brain swelling, saddle ring on the pool and pool disappeared. accompanied by cerebral hemisphere white matter, corpus callosum or brain stem lesion-like bleeding around the point of the 22 cases , associated with unilateral subdural hematoma in 10 cases, accompanied by the side of contralateral epidural hematoma, subdural hematoma in 8 cases, 10 cases associated with subarachnoid hemorrhage. 1.2 Treatment of emergency surgical treatment of this group were 18 cases, surgery are used hemicraniectomy, the rest were treated conservatively. All the patients were admitted early