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随着CT及MR的广泛临床应用,脑外伤后颅内出现的除出血性病灶以外,还有一部分为梗塞灶,尤其多为腔隙性梗塞,更有甚者出血灶与梗塞灶并存。现将我们收冶的14例报告如下。 1 临床资料本组14例,男10例,女4例。年龄7～59岁,平均30.5岁。其中儿童3例,50岁以上3例。其外伤情况均为头部,其中碰撞伤8例,被器械击伤3例,头部着地摔伤3例。有6例合并其它软组织挫伤。14例均无骨折发生。伤后一过性意识丧失4例,出现颅内压增高征3例,8例有不同程度的瘫痪,其中4例为一过性偏瘫,分别在15分钟、30分钟、2小时及5小时后自行恢复,其中一侧偏瘫当时肌力0级2例,Ⅰ～Ⅱ级肌力3例,Ⅲ～Ⅳ级肌力3例,14例中均无明显高血压及动脉硬化病史。 CT及MR俭查结果:14例均行CT检查(多在72小时内进行),其中5例在发病48小时内CT扫描未
With the extensive clinical application of CT and MR, in addition to hemorrhagic lesions in the brain after traumatic brain injury, there is also a part of infarction, especially lacunar infarction, what is more, the coexistence of hemorrhage and infarction. Now we receive the report of the 14 cases are as follows. 1 Clinical data The group of 14 patients, 10 males and 4 females. Aged 7 to 59 years old, average 30.5 years old. Among them, 3 cases were children and 3 cases were over 50 years old. The trauma situation is the head, of which 8 cases of collision injury, was injured in 3 cases of equipment, head fell to the ground in 3 cases. There are 6 cases of other soft tissue contusion. No fracture occurred in 14 cases. 4 cases of transient loss of consciousness, 3 cases of increased intracranial pressure, 8 cases of varying degrees of paralysis, including 4 cases of transient hemiplegia, respectively, 15 minutes, 30 minutes, 2 hours and 5 hours later Self-recovery, one side of the hemiplegia was 0 grade 2 cases, Ⅰ ~ Ⅱ grade muscle strength in 3 cases, Ⅲ ~ Ⅳ grade muscle strength in 3 cases, 14 cases were no history of hypertension and arteriosclerosis. CT and MR screening results: 14 cases underwent CT examination (more than 72 hours), of which 5 cases within 48 hours of onset within the CT scan