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报告12例经CT扫描确诊的外伤性脑基底节区出血。认为暴力致旋转性损伤产生剪应力是造成脑穿支动脉损伤基底节区出血的主要因素。其发病率低,易漏诊。并发脑其它部位损伤时,治疗中宜预防应激性溃疡上消化道出血等严重并发症,可以长期存在某些后遗症,预后差。
Reported 12 cases of traumatic brain basal ganglia hemorrhage confirmed by CT scan. It is thought that the generation of shear stress caused by violent rotation is the main factor of hemorrhage in the basal ganglia caused by traumatic brain injury. Its incidence is low, easy to missed diagnosis. Concomitant brain injury in other parts, the treatment should be to prevent stress ulcer upper gastrointestinal bleeding and other serious complications, there may be some long-term effects of sequelae, the prognosis is poor.