CT对创伤性和动脉瘤性蛛网膜下腔出血鉴别诊断价值.docVIP

CT对创伤性和动脉瘤性蛛网膜下腔出血鉴别诊断价值 　　【摘要】 目的：探讨CT对创伤性和动脉瘤性蛛网膜下腔出血的鉴别诊断价值。方法：选取2008年1月-2015年4月在笔者所在医院接受治疗的蛛网膜下腔出血患者160例为研究对象，其中，44例为创伤性蛛网膜下腔出血，116例为动脉瘤性蛛网膜下腔出血；均给予CT诊断，分析诊断价值。结果：创伤性蛛网膜下腔出血CT显示外侧裂池、脑沟、纵裂池、雾带状或脑内线状高密度影，伴硬膜外血肿，脑挫伤；动脉瘤性蛛网膜下腔出血均为急性突然病，CT提示为以鞍上池为中心的脑池铸型高密度影，还有的伴颞叶海马或额叶内侧直回血肿。结论：CT在创伤性蛛网膜下腔出血和动脉瘤性蛛网膜下腔出血的鉴别诊断中，能够较好的分析出血部位及分布、血液性状及破裂血管的情况等，具有十分重要和可靠的价值。 　　【关键词】 CT； 创伤性； 动脉瘤性； 蛛网膜下腔出血； 鉴别诊断； 价值 　　doi：10.14033/j.cnki.cfmr.2016.35.034 文献标识码 B 文章编号 1674-6805（2016）35-0068-02 　　【Abstract】 Objective：To compare the diagnostic value of CT for the diagnosis of traumatic and subarachnoid hemorrhage.Method：From January 2008 to April 2015，160 cases with subarachnoid hemorrhage in our hospital were randomly selected as the object of study.Among them，44 cases of traumatic subarachnoid hemorrhage，116 cases of aneurysmal subarachnoid hemorrhage，all patients underwent CT differential diagnosis，the diagnostic value was compared.Result：Traumatic subarachnoid hemorrhage，CT showed lateral cleft pool，sulcus，longitudinal pool，fog-like band or intracerebral linear high density，with epidural hematoma，cerebral contusion.Aneurysmal subarachnoid hemorrhage，were acute sudden disease，CT tips for the saddle on the pool as the center of the brain pool high density cast shadow，as well as the temporal lobe of the hippocampus or frontal lobe medial straight back to the hematoma.Conclusion：CT in the differential diagnosis of traumatic subarachnoid hemorrhage and aneurysm spinal subarachnoid hemorrhage is better analysis of hemorrhage location and distribution，blood traits，and the rupture of a blood vessel in the situation，has very important and reliable value. 　　【Key words】 CT； Traumatic； Aneurysm； Subarachnoid hemorrhage； Differential diagnosis； Value 　　First-author’s address：Yangzhou Hongquan Hospital，Yangzhou 225200，China 　　作为脑血管病之一，蛛网膜下腔出血指的是?B内血管出现破裂后致使血液流到蛛网膜的下腔，该病引发原因有动脉瘤、外伤、烟雾病和动脉硬化多种，大体上可分为自发性和外伤性两类[1]。自发性的蛛网膜下腔出血主要的原因为动脉瘤发生破裂，由于患者发病后常伴外伤，临床上通常难以判断具体出血原因，无法辨别外伤在先还是出血在先[2]。而随着影像技术发展，CT很好的