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《China Modern Medicine》 2016-35
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Evaluation on cerebral hemodynamic changes before and after the non-surgical treatment for patients with traumatic diffuse brain swelling under CT perfusion imaging

ZHANG Ke;LIU Shao-guang;ZHANG Jian-hua;WEI Xiao-dong;ZHANG Dong-zhi;Department of Emergency,Gansu People′ s Hospital;Department of Function,Lanzhou Pulmonary Hospital;  
Objective To study the application value of 64-slice spiral CT in the non-surgical treatment for patients with traumatic diffuse brain swelling.Methods 100 patients with simple diffuse brain swelling were given non-surgical treatment in our hospital from June 2013 to May 2015,and they were selected and given CTP examination within 2 to 6hours after injury,and CTP was reexamined after 7 days.The change of perfusion parameters in the region of interest before and after the treatment was analyzed.After 6 months patients were followed-up,the data was analyzed statistically with the clinical prognosis.Results After the non-surgical treatment,the CBF,CBV and MTT in the every region of interest were improved compared with those before treatment(P0.05).The patients with GOS score3 points were significantly improved.Conclusion CTP can reflect the cerebral hemodynamic changes in the patients with BDS rapidly and accurately,so as to provide reliable evidences for early treatment and determining the prognosis.
【Fund】: 甘肃省自然科学基金项目(145RJZA066)
【CateGory Index】: R651.15
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