摘要
目的:对405例资料完整的颅脑外伤患者CT检查结果与漏诊病例进行回顾性分析,旨在为临床诊治提供有力的理论参考。方法:所有病例根据入院的先后顺序,采用BALANCE型CT机取常规轴位平扫。扫描范围以听眦线为基线向上连续扫描,眶耳线(OML)上扫描9～10层,层厚10mm,层距10mm,采用骨窗及软组织窗位观察。结果:硬膜外血肿56例,占13.8%;硬膜下血肿73例,占18.1%;硬膜外血肿同时合并硬膜下血肿47例,占11.6%;蛛网膜下腔出血93例占22.9%;脑挫裂伤102例,占25.2%;另83例中合并硬膜外血肿或(和)硬膜下血肿及脑挫裂伤62例,占20.5%。结论:颅脑外伤的诊断可将CT扫描做为首选。
Objective：With leaks to 405 example material complete skull flesh WoUnd patient CT cheek result examines the case to carry on the review analysis.is for the purpose of providing the powerful theory reference for the clinical diagnosis.Methods：All case basis in hospital＇ s order successively,uses BALANCE CT machine to take the conventional axis position to sweep evenly, The swath range take listens to zi the line as the baseline upward progressive scanning, kuang the eat line （OML） on from 10mm,uses the bone window and the soft tissue window position observation.Results：Outside the hard membrane the haematoma 56 examples,account for 13.8%;Under the hard membrane the haematoma 73 examples,account for 18,1%;Outside the hard membrane the haematoma simultaneously merges under the hard membrane the haematoma 47 examples,accounts for 11.6%;Under the arachnoidea the cavity bleeds 93 examples to account for 22.9%;The brain frustrates the lacerated wound 102 exampies, accounts for 25.2%;in another 83 examples merges the hard membrane outside the haematoma or （and） under the hard membrane the ha^matoma and the brain frustrate the lacerated wound 62 exampies）;accounts for 20.5%.Conelusion：The skuii flesh wound＇ s diagnosis my do the CT scanning for the frist choice.
出处
《中国医药导刊》
2011年第7期1127-1128,共2页
Chinese Journal of Medicinal Guide
关键词
颅脑外伤
CT
漏诊分析
Skull flesh wound
CT
Leaks examines the analysis
