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脑挫裂伤40例临床分析

The Clinical Analysis of Cerebral Contusion Confirmed by CT Scanning 40 Cases Reported.

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【摘要】 本文报道经CT扫描、腰穿检查确定的脑挫裂伤40例的临床分析,脑挫裂伤发生部位以及脑挫裂伤与着力点的关系均与一般统计相符,但本组病例伤后昏迷时间在30分钟以内通常被认为是脑震荡表现的有80%,且有3例伤后无昏迷,故头部外伤病人,如未经腰穿检查,CT扫描,单凭昏迷时间有无长短有时难以作出脑震荡与脑挫裂伤的鉴别诊断,此外,意识障碍的深浅也与颅内压高低关系不密切。

【Abstract】 The clinical analysis of 40 patients with cerebral contusion confirmed by CT scanning and lumber punture examination is reported. The relationship between the localization of cerebral contusion and the striking place and/or skull fracture were similar to that in the previous reports. As 80% of patients lost their consciousness within 30 minutes and 3 patients were alert, the duration of consciousness disturbed would not be used to differentiate between cerebral concusssion and contusion if CT or lumber punture had not be done. The relation between the level of consciousness and intracranial pressure were not significant.

【关键词】 意识障碍脑挫裂伤
【Key words】 disturbed consciousnesscerebral contusion
  • 【文献出处】 广州医学院学报 ,Academic Journal of Guangzhou Medical College , 编辑部邮箱 ,1991年01期
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