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目的： 观察脑外伤后综合征（ＰＣＳ） 患者不同年龄组的外伤史、临床表现与影像学改变有无差别。方法： 将观察病例随机分为少年、青年和大青３ 组，进行上述３ 方面的研究。结果：７５４ ％ 是在少年时受伤；头痛、头晕以少年与青年组比例高，神经症群以大青组高（ Ｐ＜ ００１） ；颈椎压痛３ 组无差别；枕神经压痛以青年和大青组高；臂丛压痛以大青组高（ Ｐ＜ ００１） ，每例均有此３ 部５ 处１１ 点中２ 处或２ 点以上的压痛；Ｘ 线：齿突侧方半脱位３组均为１０００ ％ ，伴齿突后脱位及颈椎顺列不良少年组高，生理曲度消失青年组高，Ｃ３～４ 与Ｃ５～６ 孔缩小３ 组无差异，Ｃ４～５ 孔小大青组高（ Ｐ＜ ００１） ；经颅三维彩色多普勒（ＴＣＤ） 示脑血管痉挛以少、青组高，椎基底动脉系血流缓慢大青组高（ Ｐ＜ ００１） 。结论： 头痛、头晕与脑血管痉挛有相关性，神经症群与椎基底动脉系血流缓慢有相关性；颈椎等３ 部５ 处１１ 点压痛试验有简便、高效、初步的诊断价值；Ｘ 线颈椎片至少需拍张口位等４ 位片；预防ＰＣＳ 需加强对少年的管教；ＰＣＳ 的诊断应个体化，如颈椎性头痛、颈椎性头晕、颈椎性神经症群等
Objective: To observe the history of traumatic brain injury in different age groups of patients with traumatic brain injury syndrome (PCS), whether there is any difference between clinical manifestations and imaging changes. Methods: The observation cases were randomly divided into three groups: juvenile, youth and Daqing. The above three aspects were studied. Results: 75.4% were injured in adolescence. Headache and dizziness were higher in adolescents and youth groups, neurotic group was higher in Daqing group (P <001), cervical tenderness was not different in 3 groups, occipital nerve tenderness Youth and Daqing high; brachial plexus tenderness to Daqing high (P <0 01), each of these three have 5 11 points in 2 or more points of tenderness; X-ray: dentate side The subluxation degree was 1000% in the three groups. There was no difference between the young group with degenerative teeth dislocation and cervical dysraqueta group, the disappearance of physiological curvature and the reduction of C3 ~ 4 and C5 ~ (P <001). Transcranial three-dimensional color Doppler (TCD) showed that cerebral vasospasm was less in the young group than in the young group, and the blood flow in the vertebrobasilar artery was slow in the Daqing group (P < <001). Conclusion: Headache, dizziness and cerebral vasospasm have a correlation, neurotic group and vertebrobasilar artery blood flow is slowly related to cervical spine and other 5 at 11 5 points tenderness test has a simple, efficient and preliminary diagnostic value; X Line of cervical spine film at least take a mouthpiece and other 4 tablets; prevention PCS need to strengthen the discipline of juveniles; PCS diagnosis should be individualized, such as cervical headache, cervical dizziness, cervical neurosis group