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重型颅脑损伤长期意识障碍患者颅脑MRI表现与清醒预后的关系

叶立双 马康平 卞立松 王志潮

中国全科医学2011,Vol.14Issue(23):2631-2632,2.
中国全科医学2011,Vol.14Issue(23):2631-2632,2.

重型颅脑损伤长期意识障碍患者颅脑MRI表现与清醒预后的关系

Relationship between MRI Manifestations and Prognosis among Long-Term Consciousness Disorder Patients with Severe Traumatic Brain Injury

叶立双 1马康平 1卞立松 1王志潮1

作者信息

  • 1. 100080,北京市海淀医院神经外科
  • 折叠

摘要

Abstract

Objective To investigate the relationship between magnetic resonance imaging ( MRI ) manifestations and sober state among patients with severe traumatic brain injury ( TBI ) and long - term disturbance of consciousness.Methods Dato of MRI manifestations of 53 patients with long - term disturbance of consciousness caused hy severe TBI hospitalized at our department from 2003 to 2009 were retrospectively analyzed , with the prognosis factors of sober state summarized.Results A total of 22 patients out of the 53 cases ( 41.5% ) studied retrived soberness after 6 months.MRI results showed that soberness rate was notably lower among patients with lesions in dorsal brain stem, bilateral thalamus, the corpus callosum, and the frontal lobes.The x2 test showed statistical significance ( P <0.05 ).Conclusion MRI manifestations in patients with traumatic brain injurie are closely related with sober prognosis six months later.Cranial MRI indicates that it is difficult for patients with lesions in dorsal brain stem , bilateral thalamus, the corpus callosum and the frontal lobes to regain soberness.

关键词

重型颅脑损伤/意识障碍/清醒/预后/磁共振成像

Key words

Severe craniocerebral trauma/ Consciousness disorders/ Conscious/ Prognosis/ MRI

分类

医药卫生

引用本文复制引用

叶立双,马康平,卞立松,王志潮..重型颅脑损伤长期意识障碍患者颅脑MRI表现与清醒预后的关系[J].中国全科医学,2011,14(23):2631-2632,2.

中国全科医学

OA北大核心CSTPCD

1007-9572

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