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目的:分析四川汶川地震颅脑损伤患者CT表现及其价值。方法:对地震发生后近2个月内陆续送至四川大学华西医院治疗,因地震致有颅脑损伤史的140名伤员进行颅脑CT分析总结。结果:在本组伤员中,头皮损伤97例(69%);颅骨骨折68例(49%);脑挫裂伤66例(47%);硬膜外和(或)硬膜下积血、积液44例(31%);蛛网膜下腔出血36例(26%);脑水肿、软化灶29例(21%);其他43例(31%)。结论:CT扫描能准确、快速、有效地对地震颅脑损伤患者进行判断,可为临床治疗方案起指导作用。
Objective: To analyze CT findings and its value in patients with craniocerebral injury in Wenchuan earthquake. Methods: The patients were sent to Huaxi Hospital of Sichuan University for treatment within about 2 months after the earthquake. 140 wounded persons with history of brain injury due to earthquake were analyzed by brain CT. RESULTS: Scalp injury was performed in 97 patients (69%), skull fracture in 68 (49%), brain contusion in 66 (47%), epidural and / or subdural hemorrhage, There were 44 cases (31%) of effusion, 36 cases (26%) of subarachnoid hemorrhage, 29 cases (21%) of cerebral edema and softening lesions and 43 cases (31%) of other cases. Conclusion: CT scanning can accurately, quickly and effectively judge patients with earthquake-induced craniocerebral injury and can guide clinical treatment.