摘要
目的分析急性颅脑创伤后进展性颅内出血(Progressive intracrananil hemorrhage,PIH)的CT检查表现与临床意义。方法对100例急性颅脑创伤后患者进行连续CT检查,确定是否发生PIH。分析PIH组患者与非PIH组患者受伤至首次CT检查的时间、首次CT检查的表现。结果 100例中29例(29%)发生PIH,PIH组与非PIH组受伤至首次CT检查时间差异有统计学意义,首次CT检查表现为颅骨骨析、蛛网膜下腔出血(SAH)、脑挫裂伤、初发血肿,在统计学上有显著性差异(P<0.01)。结论对颅脑损伤早期即行首次头颅CT检查的患者,如果首次表现为颅骨骨折、SAH、脑挫裂伤、初发血肿,应进行连续CT扫描以早期确诊PIH和早期治疗。
Objective To investigate CT scan manifestations and clinical significance of progressive intracranial hemorrhage （PIH） in patients with acute traumatic brain injury （TBI）. Methods PIH was validated by comparing the initial and repeated CT scans data including time interval from injury to the first CT scan, initial CT scan manifestations in both groups were compared to observe risk factors related to PIH. Results The study involved 100 patients with TBI of which 29（29%） patients suffered from PIH. There were statistical difference in aspects of time interval from injury to the first CT scan,initial CT scan manifestations, including fractures, subarachnoid hematoma,centusin and onset hematoma in both groups （P〈0.01）. Conclusion For patients with the initial CT scan manifestations including fractures, subarachniod, hemorrhage, brain contusion, primary hematoma, a continuous CT scan should be performed promptly to detect and treat PIH early.
出处
《中国现代医药杂志》
2013年第4期46-48,共3页
Modern Medicine Journal of China
关键词
颅脑损伤
CT扫描检查
预后
进展性颅内出血
Brain injury CT scan manifestations Prognosis Progressive intracranial hemorrhage
