摘要
目的总结汶川大地震颅脑损伤情况及多层螺旋CT的诊断价值。方法对收治的汶川地震伤员1557例中因颅脑外伤的292例进行CT检查，其中CT检查阳性者225例。回顾性总结225例颅脑损伤患者的损伤类型及多层螺旋CT表现，分析多平面重组（MPR）及三维（3D）重组成像的应用价值。结果颅脑损伤225例，主要包括颅骨骨折66例，脑挫裂伤50例，颅内血肿55例，蛛网膜下腔出血16例，硬膜下积液16例，头皮异物20例，外伤性脑梗死2例。其中22例进行了手术治疗。结论地震住院救治伤员中颅脑损伤占的比例较大，MPR及3D图像可以为神经外科医师术前提供直观可靠的依据。
Objective To evaluate the information of head injury caused by the major earthquake of Wenchuan and the diagnostic value of multi-slice spiral CT（MSCT）. Methods A total of 1557 earthquake victims were hospitalized, of which head CT scan was performed in 292 cases, and abnormalities were found in 225 of them. The composition, type of injury and MSCT findings of head injury were retrospectively analyzed. Results CT abnormalities were found in 225 victims, including 66 cases of skull fracture, 50 cases of cerebral contusion and laceration, 55 cases of intracranial hematoma, 16 cases of subarachnoid hemorrhage, 16 cases of subdural collection of fluid,20 cases of foreign substance of scalp, and 2 cases of traumatic cerebral infarction. Operation was performed in 22 of them. Conclusion The incidence of head injury in earthquake was high, and most of them were not severe. The examination of MSCT was rapid, MPR and 3D images can clearly show the lesion of craniocerebral trauma. MSCT can provide more valuable information for clinical therapy in craniocerebral trauma caused by earthquake.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2008年第11期1130-1132,共3页
Chinese Journal of Radiology
关键词
颅脑损伤
自然灾害
体层摄影术
X线计算机
Craniocerebral trauma
Natural disasters
Tomography, X-ray computed
