急性颅脑损伤旳CT和MRI
(Traumatic Brain Injury,TBI)
概念:由外伤导致旳颅内损害。超过110万人/年美国人因TBI急诊科就诊,23.55万人/年需住院,43%有终身残疾,超过5万人/年死亡。临床TBI分类:轻度--15≥GCS>12. 中度-- 12≥GCS>8. 重度-- 8≥GCS. (GCS-Glasgow Coma Scale,GCS) GCS是一种根据患者运动、言语及眼功能评分总和。
CT head is required for individuals with minor head injury and one of the follow criteria:High risk neurosurgical interventionGCS of less than 15 at 2 hrs after insultSuspected depressed or open skull fractureSigns of basiliar skull fracture(CSF leak,hemot ...
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