论文部分内容阅读
目的探讨创伤性胼胝体血肿的损伤机制、病理机制,总结创伤性胼胝体血肿的临床表现特点、临床分型、治疗方案的选择及治疗方法,为今后的临床诊疗工作提供借鉴。方法对深圳市松岗人民医院2004年2月-2011年5月所收治的创伤性胼胝体血肿13例的临床资料进行回顾分析。结果 13创伤性胼胝体血肿患者采用保守治疗5例,手术治疗8例;按GOS结果分级标准对13创伤性胼胝体血肿患者的治疗结果进行评估:Ⅰ级(死亡)1例(7.69%),Ⅱ级(植物生存)1例(7.69%),Ⅲ级(重残)3例(23.07%),Ⅳ级(中残)3例(23.07%),Ⅴ级(良好)5级(38.46%)。结论胼胝体血肿合并有弥漫性轴索损伤存在,病情重,治疗任务繁重,患者预后差,动态症状及体征和头颅CT监测,规范化地治疗是提高患者生存率及生存质量的保证。
Objective To investigate the injury mechanism and pathological mechanism of traumatic corpus callosum hematoma and summarize the clinical manifestations, clinical classification, treatment options and treatment of traumatic corpus callosum hematoma, and provide references for future clinical diagnosis and treatment. Methods The clinical data of 13 cases of traumatic corpus callosum hematoma admitted to Songgang People’s Hospital of Shenzhen from February 2004 to May 2011 were retrospectively analyzed. Results 13 cases of traumatic corpus callosum hematoma patients were treated conservatively in 5 cases and 8 cases were treated surgically. The results of 13 cases of traumatic corpus callosum hematoma were evaluated according to GOS grading standards: 1 case (7.69%) of grade Ⅰ (death), Ⅱ 3 cases (23.07%) were grade III (severe disease), 3 cases (23.07%) were grade IV (moderate disability) and 5 cases (38.46%) were grade V (good). Conclusions The corpus callosum hematoma is associated with diffuse axonal injury. The patients suffered from heavy illness, heavy treatment, poor prognosis, dynamic signs and symptoms and cranial CT. Standardized treatment is the guarantee of survival and quality of life.