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目的 探讨外伤后脑梗塞CT诊断与临床预后之间的关系。方法 对78例外伤后脑梗塞患者采取影像学与临床相结合的原则进行CT分型,共分五型:Ⅰ型,腔梗型(n=36);Ⅱ型,单脑叶型(n=14);Ⅲ型,多脑叶型(n=10);Ⅳ型,挫伤出血型(混合型)(n=15);Ⅴ型,小脑与脑干型(n=3)。结果 Ⅰ～Ⅱ型疗效较好,Ⅲ～Ⅴ型病情严重,病死率与病残率增高。结论 外伤后脑梗塞CT分型有助于判断临床预后。
Objective To investigate the relationship between CT diagnosis and clinical prognosis after traumatic cerebral infarction. Methods Totally 78 patients with traumatic cerebral infarction were divided into five types according to the principles of imaging and clinical diagnosis: type Ⅰ, type of infarction (n = 36), type Ⅱ, type of solitary brain (n = 14 (N = 15); type Ⅴ, cerebellum and brainstem type (n = 3); type Ⅲ, multiple brain lobe type (n = 10); type Ⅳ, contusion bleeding type (mixed type) Results Ⅰ ~ Ⅱ type curative effect is good, Ⅲ ~ Ⅴ serious condition, mortality and morbidity increased. Conclusion Posttraumatic cerebral infarction CT typing helps to determine the clinical prognosis.