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[目的]探讨颅脑弥漫性轴索损伤(DAI)的诊断与治疗,以提高该病的临床治愈率。[方法]对某院2008年6月～2009年12月收治的93例DAI患者进行回顾性研究,分析其影像学资料、诊断治疗资料和预后效果。[结果]诊治患者中痊愈的8例(8.60%);明显好转的29例(31.18%);有所好转的9例(9.68%);无改善的13例(13.98%);死亡的34例(36.56%)。[结论]交通事故是导致颅脑弥漫性轴索损伤的主要原因,坠落是其次要原因。入院时GCS评分越高,预后越好。早期气管切开、吸高压氧、亚低温治疗、有效降低颅内压、尽早留置胃管等方式可提高治疗效果。
[Objective] To explore the diagnosis and treatment of brain diffuse axonal injury (DAI) to improve the clinical cure rate of the disease. [Methods] A retrospective study was performed on 93 DAI patients admitted from June 2008 to December 2009 in a hospital. The imaging data, diagnosis and treatment data and prognosis were analyzed. [Results] Eight cases (8.60%) were recovered after diagnosis and treatment, 29 cases (31.18%) were significantly improved, 9 cases (9.68%) improved, 13 cases (13.98%) did not improve and 34 cases died (36.56%). [Conclusion] Traffic accidents are the main cause of diffuse axonal injury in the brain. Fall is the second reason. The higher the GCS score at admission, the better the prognosis. Early tracheotomy, hyperbaric oxygen inhalation, mild hypothermia treatment, effective in reducing intracranial pressure, as early as possible indwelling gastric tube and other ways to improve the therapeutic effect.