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中沢省三教授和高桥弘讲师于1988年8月26日至9月3日来中国医大附属第一医院讲学访问。来访期间作了学术报告,共同检查了病房病人,一起进行了临床讨论。兹将大家最为关心的脑外伤部分作一摘要。报告中说,CT在脑外伤诊斯上的应用以及昏迷指数应用的普及,对脑外伤患者病情判定和治疗效果及预后的估计都有很大好处。尤其是通过分析急性期CT所见,使以前只能在剖检时看到的形态变化能随时地加以了解,因而更新了我们的知识。出自这种考虑,美国国立神经病、关联疾病中风研究院(NINCDS)设立了创伤性昏迷资料库(TCDB),并在7个单位对重型颅脑损伤进行探讨。他们简化了既往脑外伤的复杂分类。根据CT、GCS(入院时意识水平)及简单的神经症状划分为:局灶损伤和弥漫性损伤两大类(以
Three Zhongli Professor and Takahashi Hiroshi Lecturer from August 26, 1988 to September 3 to the First Affiliated Hospital of China Medical University lectures visit. During the visit made an academic report, jointly examined the ward patients, together with a clinical discussion. I will give you a summary of the most traumatic brain injury. The report said that the application of CT in traumatic brain injury and the popularity of coma index application have great benefits for the judgment of patients with traumatic brain injury, as well as the evaluation of the therapeutic effect and prognosis. Especially through the analysis of acute phase CT seen, so that only morphological changes seen at the time of necropsy can be readily understood, thus updating our knowledge. From this consideration, the National Institute of Neuropathology, the Institute of Stroke of Associated Diseases (NINCDS) established the Traumatic Coma Library (TCDB) and explored severe craniocerebral injury in seven units. They simplify the complex classification of previous brain trauma. According to CT, GCS (consciousness level at admission) and simple neurological symptoms are divided into two categories: focal lesion and diffuse lesion