【摘要】 目的： 观察脑外伤后综合征（ＰＣＳ） 患者不同年龄组的外伤史、临床表现与影像学改变有无差别。方法： 将观察病例随机分为少年、青年和大青３ 组，进行上述３ 方面的研究。结果：７５４ ％ 是在少年时受伤；头痛、头晕以少年与青年组比例高，神经症群以大青组高（ Ｐ＜ ００１） ；颈椎压痛３ 组无差别；枕神经压痛以青年和大青组高；臂丛压痛以大青组高（ Ｐ＜ ００１） ，每例均有此３ 部５ 处１１ 点中２ 处或２ 点以上的压痛；Ｘ 线：齿突侧方半脱位３组均为１０００ ％ ，伴齿突后脱位及颈椎顺列不良少年组高，生理曲度消失青年组高，Ｃ３～４ 与Ｃ５～６ 孔缩小３ 组无差异，Ｃ４～５ 孔小大青组高（ Ｐ＜ ００１） ；经颅三维彩色多普勒（ＴＣＤ） 示脑血管痉挛以少、青组高，椎基底动脉系血流缓慢大青组高（ Ｐ＜ ００１） 。结论： 头痛、头晕与脑血管痉挛有相关性，神经症群与椎基底动脉系血流缓慢有相关性；颈椎等３ 部５ 处１１ 点压痛试验有简便、高效、初步的诊断价值；Ｘ 线颈椎片至少需拍张口位等４ 位片；预防ＰＣＳ 需加强对少年的管教；ＰＣＳ 的诊断应个体化，如颈椎性头痛、颈椎性头晕、颈椎性神经症群等更多还原

【Abstract】 Objective: Observing the differences of tramatic history,clinical phenomenon and images of PCS patients in defferent age groups.Methods: PCS patients were divided into three groups:juvenile,teen ages and young people,and the three items of researches above were given in the same way.Results: The older the age was,(75% PCS patients were hurt in juvenile),the higher was the incidence of the headache and dizziness in the groups of juvenile and teen ages,the neurosis syndrome was higher in the young people group ( P <0 01).The tenderness of cervical vertebrae in three groups had no difference.But the tenderness of the occipital nerve was higher in the groups of teen ages and young people,the tenderness of brachial plexus was higher in young people group.Every patients had 2 tender sections or more than 2 tender points among three sections,five places and eleven points,X ray examination showed that the lateral partial dislocation of odontoid process was 100.0% in three groups,meanwhile,such dislocation associated with backward dislocation and disorder of cervical vertebrae was higher in juvenile group,disappearance of physiological curvature was higher in teen ages group.There was no difference in reduction of interverterbral foramen between C 3 4 and C 5 6 ,but the reduction between C 4 5 was higher in young people group ( P <0 01).TCD showed that cerebrovascular spasm was higher in the groups of juvenile and teen ages,slow blood flow of vetebrobasilar arterial system was higher in young people group ( P <0 01).Conclusion: Headache and dizziness is related to cerebrovascular spasm,the nrurosis syndrome is related to slow blood flow of vertebrobasilar arterial system.The tenderness examination of cervical vertebrae and others with the method of three sections,five places and eleven points has the easy,high effective and initial diagnostic value.Photograhps of cervical vertebrae shoud be taken at least in four different postures,such as open mouth posture and so on.It is importent for the juvenile to prevent PCS PCS should be diagnosed as distinct symptoms respectively,such as headache of cervical vertedrae,vertigo of cervical vertebrae and neurosis syndrome of cervical vertebrae and so on.更多还原