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《Chinese Medicine of Factory and Mine》 1994-02
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Significance of Cerebral Midline Shift in the Assessment of Seventy and Prognosis of Acute Head Injury

Han Zhong-yuan, et al. (department of Neurosurgery, The Workers and Staff Hospital of China First Metallurgical ConstructionCompang. Wuhan.)  
In a series of 162 patientS with intracranial hematoma following acute head injury,CT scans were studied. Based on the midline shift compared with the extent of intracranial hematoma on admission CT scans,all patients were divided into three groups: 1) the presence of intracranial hematoma without midiine shift; 2)midline shift≤the ex-tent of intracranial hematoma; 3)midline shiftthe extent intracranial hematoma. When the seventy and outcome ofthree groups were analyzed by Ridit test, the result showed that the seventy and poor outcome of group 3 was signifi-cantly higher than group 2 and 1. Tn group 3, the mortality rate were significantly different when the difference ofmeasured value between midline shift and the extent of intracranial hematoma was3 mm and≤3 mm (92. 31% vs37. 5%,P0. 01 ). The Tesult suggests that midline shift more than the extent of intracranial hematoma is highly precictive to seventy and prognosis of acute head injury. and if the difference of measured magnitude between midlineshift and the extent of intracranial hematoma more than 3 mm is an important index of poor outcome following acutehead injury.
【Key Words】: Head injury Midline Shift CT
【CateGory Index】: R651.15
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