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原发性脑干损伤的诊断和治疗

Diagnosis and treatment of primary brain stem injury
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摘要 目的 探讨原发性脑干损伤的发病机理、病理改变、诊断和治疗效果。方法 采用回顾性研究的方法分析全组的临床资料。结果 全组 44例 ,均采用综合治疗 ,恢复良好 9例 (2 0 .5 % ) ,中残 8例(18.2 % ) ,重残 6例 (13 .6 % ) ,死亡 2 1例 (4 7.7% )。结论 MRI检查能明显提高原发性脑干损伤的诊断准确率 ;早期采取积极有效的综合治疗是降低死残率的关键 ; Objective To investigate the pathogenesis ,pathological changes,diagnosis and management for primary brain stem injury in 44 patients.Methods The clinical data of all patients were analysed retrospectively.Results The Glasgow coma scale(GCS)demonstrated:nine patients(20.5%)with good recovery,eight(18.2%) moderate disability and six(13.6%) severe disability.Twenty one( 47.7% ) patients died.Conclusion Magnetic resonance imaging(MRI)could obviously increase the accuracy rate of diagnosis for primary brain stem injury;To improve the outcome of the injured brain stem,an active effective comprehensive treatment should be early suggested;The excitometabolic activator of brain cell could obviously decrease the mortality of primary brain stem injury.
出处 《前卫医药杂志》 2001年第3期167-168,,170,,共3页 Qianwei Journal of Medicine & Pharmacy
关键词 脑损伤 脑干 诊断 治疗 Brain injury Brain stem Diagnosis Treatment
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参考文献7

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