脑挫裂伤时中脑及其周围池的ct变化与预后的关系（Relationship between CT changes and prognosis in midbrain and its surrounding cistern during contusion and laceration of brain）.docVIP

脑挫裂伤时中脑及其周围池的ct变化与预后的关系（Relationship between CT changes and prognosis in midbrain and its surrounding cistern during contusion and laceration of brain） Relationship between CT changes and prognosis in midbrain and its surrounding cistern during contusion and laceration of brain Update Date: 2010-10-08, Zhang Aijun, Jiang Yong, Hu Aihua, Gao Jun, Han Detan Through our department from January 1995 to January 1997 were treated with brain contusion in 102 patients diagnosed by CT for the first time the main data of relationship between prognosis and mesencephalon surrounding cisterna laceration morphological changes and cerebral contusion, found that the higher the grade, the worse the prognosis. It is hereby reported as follows. clinical data 1. in and around the pool classification standard: six classification method combined with Lius 1: 0 - the midbrain and around the pool is normal; grade I - perimesencephalic zengkuan, brainstem normal; II - perimesencephalic normal occlusion, brainstem; III - brain stem diameter greater than the diameter of deformation before and after the change; IV level of brain stem and density, bleeding or low density; V - III and IV combination. The author carried out an improved scoring system, with 0 to 1 grades, 2 to 3, and the fourth to the fifth. 2. general data: 73 males and 29 females, aged 7~73 years, average 46.5 years old. Admission GCS-M: is less than or equal to 8 points in 27 cases, 9 to 12 points in 23 cases, more than 13 points in 52 cases. The morphological changes of the midbrain and its surrounding cisterns were 1 cases and 56 cases, 2 points and 24 cases, 3 points and 22 cases. The prognosis was good in 74 cases, middle disability in 14 cases, severe disability in 4 cases, vegetative survival in 1 cases, and death in 9 cases. 3.. The location and treatment of contusion and laceration of brain include 38 cases of frontal portion, 53 cases of temporal region, 17 cases of frontal and temporal region, 10 cases of occipital to