论文部分内容阅读
目的探讨弥漫性轴索损伤(diffuse axonal injury,DAI)的诊治方法。方法回顾性分析我科2008年1月至2009年6月收治的36例DAI患者影像学特点和临床诊治资料。结果随访半年,死亡9例(25%),植物生存5例(13.8%),重残11例(30.5%),轻残7例(19.4%),恢复良好者仅4例(11.1%)。结论DAI的临床表现与影像学表现不相符,两者结合可以诊断DAI;治疗采用综合治疗,早期高压氧治疗是一种有效的方法。
Objective To investigate the diagnosis and treatment of diffuse axonal injury (DAI). Methods Retrospectively analyzed the imaging features and clinical diagnosis and treatment data of 36 patients with DAI admitted from January 2008 to June 2009 in our department. The results were followed up for six months, 9 cases died (25%), 5 cases (13.8%) were plant survival, 11 cases (30.5%) were severe disability, 7 cases (19.4%) were mild disability, and only 4 cases (11.1%) recovered well. Conclusion DAI clinical manifestations and imaging findings do not match the combination of the two can diagnose DAI; treatment with comprehensive treatment, early hyperbaric oxygen therapy is an effective method.