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CT评分系统早期预测创伤性脑损伤患者预后的研究进展
赵志杰1 孙兆良1 陈二涛1 冯东福1,2
1 上海交通大学医学院附属第九人民医院神经外科 201999; 2 上海交通大学医学院创伤医学研究所 201999
Research progress in CT scoring system early predicting prognosis of patients with craniocerebral trauma
Zhao Zhije, Sun Zhaoliang, Chen Ertao, Feng Dongfu.

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摘要 对创伤性脑损伤(TBI)患者伤情及预后进行客观、准确、无创的评估是TBI救治工作的基础。格拉斯哥昏迷评分(GCS)是临床最为常用的伤情评估方法,但对需镇静、插管或合并语言、运动障碍的患者往往无法进行准确评分。此外,GCS也无法提供病理损害的直接证据。CT评分系统是近年来出现的基于CT图像的无创评估体系,其评估过程不受镇静、插管等的影响,还可以客观反映脑组织损伤的严重程度。笔者就CT评分系统评估创伤性脑损伤患者临床预后的研究进展作一综述,为临床医师选择合适的伤情评估方法及临床决策提供参考。
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关键词 颅脑损伤预后CT评分    
Abstract:Objective, accurate and noninvasive assessment of the condition and prognosis of traumatic brain injury (TBI) patients in the early stage is the basis of TBI treatment. Glasgow coma scale (GCS) is the most common clinical method for assessing trauma condition. However, when patients are sedated, intubated or have language or movement disorders, it is often impossible to make an accurate assessment by GCS. In addition, GCS cannot provide direct evidences of pathological damage in brain tissues. The CT scoring system has emerged in recent years and is a non-invasive evaluation system based on CT images. The evaluation process can objectively reflect the severity of brain tissue damage without being interfered by sedation or intubation. The authors review the progress of researches on CT scoring systems to assess the prognosis of patients with craniocerebral injury, so as to provide a reference for clinicians to choose appropriate injury assessment methods and make clinical decisions.
Key wordsCraniocerebral trauma    Prognosis    Computed tomography score   
    
基金资助:上海市科委基金(19411968200);浦东新区卫计委联合攻关项目(PD2018D-09);上海交通大学医学院附属第九人民医院临床研究项目(JYLJ201802)
通讯作者: 冯东福, Email: feng_df@yahoo.com, 电话:13621712133   
引用本文:   
赵志杰 孙兆良 陈二涛 冯东福. CT评分系统早期预测创伤性脑损伤患者预后的研究进展[J]. 中华创伤杂志, 2020, 36(10): 956-960. Zhao Zhije, Sun Zhaoliang, Chen Ertao, Feng Dongfu.. Research progress in CT scoring system early predicting prognosis of patients with craniocerebral trauma. CHINESE JOURNAL OF TRAUMA, 2020, 36(10): 956-960.
链接本文:  
http://manu24.magtech.com.cn/jweb_zgcszz/CN/10.3760/cma.j.cn501098-20200721-00518     或     http://manu24.magtech.com.cn/jweb_zgcszz/CN/Y2020/V36/I10/956
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