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目的:提高对脑弥漫性轴索损伤的诊治水平。方法:对我科1998年12月～2005年6月收治的92例弥漫性轴索损伤病人进行回顾性分析,总结临床经验。结果:按GCS评分,良好20例,中残18例,重残14例,植物生存13例,死亡27例。结论:脑外伤持续昏迷超过6小时,而CT扫描无明显占位者,即可诊断为DAI。抓住时间窗综合治疗,可提高DAI的治疗结果。
Objective: To improve the diagnosis and treatment of diffuse axonal injury in the brain. Methods: A retrospective analysis was performed on 92 patients with diffuse axonal injuries admitted to our department from December 1998 to June 2005, and the clinical experience was summarized. Results: According to the GCS score, there were 20 good cases, 18 moderate cases, 14 severe cases, 13 cases of plant survival and 27 cases of death. CONCLUSIONS: Traumatic brain injury continues to be unconscious for more than 6 hours, whereas CT scan has no apparent occupancy and can be diagnosed as DAI. Seize the time window comprehensive treatment, can improve the treatment results of DAI.