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脑弥漫性轴索损伤后持续性植物状态的影像学分析
引用本文:敖淑云,何伟明,王健.脑弥漫性轴索损伤后持续性植物状态的影像学分析[J].内蒙古民族大学学报(自然科学版),2006,21(4):443-445.
作者姓名:敖淑云  何伟明  王健
作者单位:1. 内蒙古民族大学,附属医院,内蒙古,通辽,028000
2. 吉林大学第一临床医学院,吉林,长春,130000
摘    要:目的: 探讨脑弥漫性轴索损伤(DAI)后持续植物状态患者影像学特点并为临床治疗和预后提供影像学建议.方法: 分析30例DAI后持续植物状态病人CT资料,总结、分析其特点及其与临床转归的关系.结果: 本组颅脑外伤后PVS均超过3个月,病人早期昏迷并头颅CT如出现大脑半球多发散在和/或融合的高密度出血灶,主要累及额叶、颞叶、基底节区者,则预后不良.结论: 脑弥漫性轴索损伤(DAI)后持续植物状态患者影像学特点可给临床治疗和预后提供较可靠的影像学建议,累及额叶、颞叶、基底节区者,预后不良.

关 键 词:脑弥漫性轴索损伤  持续植物状态  影像学.
文章编号:1671-0185(2006)04-0443-03
修稿时间:2006年4月8日

Imageologic Analysis on Patients in Persistent Vegetative State after Diffuse Axonal Injury
AO Shu-yun,HE Wei-ming,WANG Jian.Imageologic Analysis on Patients in Persistent Vegetative State after Diffuse Axonal Injury[J].Journal of Inner Mongolia University for the Nationalities(Natural Sciences),2006,21(4):443-445.
Authors:AO Shu-yun  HE Wei-ming  WANG Jian
Abstract:Objective:To study the features of imageology for patients in persistent vegetative state(PVS) after diffuse axonal injury(DAI) and provide suggestions for clinical treatment and judging prognosis.Methods: Summarizing and analyzing the characteristics of imageology for 30 patients and finding out their relations to patients' prognosis.Results:All patients' PVS lasted over 3 months.If a patient went into a coma early,and accompanied with multiple,scattered or fusional high density hemorrhagic focuses in CT image,mainly involving frontal lobe,temporal lobe or basal ganglia,he would have bad prognosis.Conclusion:The head image of patients in PVS after DAI can provide valuable information for their clinical treatment and judging prognosis.
Keywords:Diffuse axonal injury  Persistent vegetative state  Imageology
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