摘要
目的：探讨急性颅脑外伤的CT表现和临床GCS昏迷计分，判断预后。方法：训练样本672例，检验样本328例，均为本院住院病人，用最大似然法研究训练样本672例的CT表现和临床GCS昏迷计分，制定急性颅脑外伤的预后诊断用表。新入院急性颅脑外伤328例为检验样本，对该方法进行检验。结果：判断预后良好253例，实际存活228例，死亡25例，判断预后不佳75例，实际死亡69例，存活6例。预后判断准确率为90．5％。结论：用最大似然法综合研究CT表现和GCS计分的计量诊断对颅脑外伤预后的判断准确率高、简便、实用。
Aim: much interest has been focused on the prediction of the outcome after head injury the aim of this study was to analyse the possible relationship between CT findings combined with the CGS Scorings and clinical prognostic significance in acute head injuries. Methods: A restrospective analysis of CT-CGS findings was performed in 672 head-injury patients by setting up a table of calculate prognoses using Maximal Resemblance Method. 328Cases of newly adrwitted acute cranio-corebtal imjuries were selected as test specinen of this method. Results: Among 253 cases with predicted good prognsis, 228 cases actuelly survived. Only 25 cases dead. Among 75 cases with predicted poor prognosis, 69 died. The accuracy rate of prognostic prediction was 95.5%. Conclusion: CT-GCS in the prediction of the outcome of head injnries by using maximal resemblance method has been proved to be simple, practical and highly reliable.[
出处
《急诊医学》
CSCD
1998年第5期313-315,共3页
关键词
颅脑外伤
CT
最大似然法
GCS
预后
Head injury Computed tomography (CT) Maximal resmblence method
