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目的:探讨急性颅脑损伤基底池及大脑中线CT动态观察的临床意义。资料与方法:对2007年5月至2009年7月间收治的150例资料完整的急性颅脑损伤患者基底池及大脑中线的CT改变与患者的预后关系进行研究。结果:按照基底池变窄及中线移位程度共分为Ⅳ型,本组数据显示脑外伤患者的死亡率随CT分型的加重而显著提高;动态观察显示死亡率随病情的发展而显著提高。结论:动态观察急性颅脑损伤基底池及大脑中线CT影像变化,对预测患者的预后和指导临床抢救有重要指导意义。
Objective: To investigate the clinical significance of CT dynamic observation of basilar pool and midline of brain in acute craniocerebral injury. Materials and Methods: The relationship between CT changes in the basilar pool and midline of 150 patients with complete data of acute craniocerebral injury admitted from May 2007 to July 2009 was studied. Results: According to the narrowing of the basilar pool and the degree of midline shift is divided into type Ⅳ, the data show that the mortality of traumatic brain injury patients with CT classification increased significantly; dynamic observation showed that the mortality rate with the development of the disease was significantly increased . CONCLUSION: Dynamic observation of changes of basal pool and midline CT images of acute craniocerebral injury has important guiding significance in predicting prognosis of patients and guiding clinical rescue.