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primary brainstem
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  原发性脑干
     Primary Brainstem Hematomas: MRI,Clinical and Prognosis Aspects
     原发性脑干出血的MRI、临床及预后
短句来源
     Relation between clinical features and CT scanning of 90 cases of primary brain stem injury
     原发性脑干损伤90例临床表现与CT影像的关系
短句来源
     Clinical Analysis on Primary Brain Stem Injuries of 52 Cases
     原发性脑干损伤52例临床分析
短句来源
     This paper presents 90 cases of primary brain stem injury (PBSI), which made up 11.3% of the patients with severe and very severe brain traumatic injury of the same period.
     报告原发性脑干损伤90例,占同期重型和特重型颅脑损伤的11.3%。
短句来源
     Primary brain stem hemorrhage: Report of 18 cases
     原发性脑干出血18例
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  原发性脑干
     Primary Brainstem Hematomas: MRI,Clinical and Prognosis Aspects
     原发性脑干出血的MRI、临床及预后
短句来源
     Relation between clinical features and CT scanning of 90 cases of primary brain stem injury
     原发性脑干损伤90例临床表现与CT影像的关系
短句来源
     Clinical Analysis on Primary Brain Stem Injuries of 52 Cases
     原发性脑干损伤52例临床分析
短句来源
     This paper presents 90 cases of primary brain stem injury (PBSI), which made up 11.3% of the patients with severe and very severe brain traumatic injury of the same period.
     报告原发性脑干损伤90例,占同期重型和特重型颅脑损伤的11.3%。
短句来源
     Primary brain stem hemorrhage: Report of 18 cases
     原发性脑干出血18例
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  “primary brainstem”译为未确定词的双语例句
     Primary brain stem injury is a very seriously fatal injuries. Its mortality is as high as 44.1%~62.5%, and its disability rate of survivor reach to 60%, and vegetable state patients surpass 1/3 of them.
     脑干损伤(primary brain stem injury)是一种致命性损伤,死亡率超过44.1%~62.5%,存活者重残率高达60%以上,其中植物生存者超过1/3。
短句来源
     The analysis of complications after surgical treatment of primary brain stem diseases
     脑干占位性病变手术后并发症分析
短句来源
     Radiological Diagnosis and Classification of Primary Brain Stem Injury
     原发脑干损伤影像学诊断及分类
短句来源
     Diagnosis and Treatment of the Basicranial Fracture Combined the Primary Brain Stem Injury
     颅底骨折合并原发脑干损伤的诊断与治疗
短句来源
     Methods From January 2000 to December 2005,38 patients with primary brain stem diseases underwent surgical operation.
     方法回顾性分析2000年1月至2005年12月38例脑干占位性病变手术后并发症的发生及转归。
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  primary brainstem
Primary brainstem injuries need not be associated with poor prognosis and mortality and may run a benign course with good quality of survival.
      
We treated nine such cases who had sustained primary brainstem injury in road traffic accidents, all but one of whom were subsequently independent.
      
Primary brainstem injury following head injury is a rare event.
      
Primary Brainstem Injury: Benign Course and Improved Survival
      
Thirty-two patients with CT-documented primary brainstem haemorrhage were reviewed retrospectively to obtain a clearer overall clinical picture, especially of the severely disabled survivors.
      
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70 patients of head-injury were studied with brainstem auditory evoked potentials (BAEP) for the evaluation of patient condition and progn osis. Abnormal BAEP's were divided to4 groups according to Greenberg's method. The results indicated that BAEP grades were negatively correlated with GCS score (r=-0.69).The higher BAEP grades,the less GCS score and the more seriousness of the trauma would be.There is no significatly difference for abnormal BAEP be ween primary and second brain-injury.BAEP could increase...

70 patients of head-injury were studied with brainstem auditory evoked potentials (BAEP) for the evaluation of patient condition and progn osis. Abnormal BAEP's were divided to4 groups according to Greenberg's method. The results indicated that BAEP grades were negatively correlated with GCS score (r=-0.69).The higher BAEP grades,the less GCS score and the more seriousness of the trauma would be.There is no significatly difference for abnormal BAEP be ween primary and second brain-injury.BAEP could increase the accuracy on diagnosis of primary brainstem injury Dynamic value of BAEP suggest that Group Ⅱ prognosis Ⅲ changed the easiliest close attention should be paid to these patients and dynamic change in BAEP showed be mon itored.The higher BAEP group,the poor prognosis

作者对急性颅脑损伤病人70例应用脑干听觉诱发电位(BAEP)就伤情评价和预后判断做了初步研究。对 BAEP 的异常按照 Greenberg 等的方法分Ⅳ级。结果表明,BAEP 级别与 GCS 记分呈负相关(r=-0.69),BAEP 级别越高,GCS 记分可能越低,临床状态则越差。本组原发和继发脑干损伤病人在 BAEP 疫常程度上无显著性差异。但在原发脑干损伤的诊断上可提高其可靠性。不同病期测定 BAEP 提示Ⅱ、Ⅲ级者最易发生变化,改善者占71.43%和35.71%,变化率为7.14和21.43,说明对这类病人应密切观察,反复监测。BAEP 级别越高,病人预后可能越差。

The correlations between clinic.CT,ICP and BAEP have been studied in 61 patients with acute head in-jury. We found that abnormal BAEP changed more obviously in the deterioration of patient's condition and raised ICP; and had a negative correlation with GCS (P<0. 05). When ICP≥4kPa(30mmHg) ,the abnormal-ity of BAEP changed mofe obviously compared to controls(.P<0. 05). BAEP abnormality also reflects colsed relationship with the CT feature. When the midline shift from 5mm to more than 10mm on CT scan.the rate...

The correlations between clinic.CT,ICP and BAEP have been studied in 61 patients with acute head in-jury. We found that abnormal BAEP changed more obviously in the deterioration of patient's condition and raised ICP; and had a negative correlation with GCS (P<0. 05). When ICP≥4kPa(30mmHg) ,the abnormal-ity of BAEP changed mofe obviously compared to controls(.P<0. 05). BAEP abnormality also reflects colsed relationship with the CT feature. When the midline shift from 5mm to more than 10mm on CT scan.the rate of abnormal BAEP increased up to 100% from 61. 5%. And there is,a postive correlation with the compres-sion of the ambient cisten(the rate of abnormal BAEP from 14. 29% to 100% ,P<0. 05) or lateral ventricles (the rate of abnormal BAEP up to 85. 71% from 12. 5% ,P<0. 05). Therefore,combined exarninations of CT scanning and BAEP are helpful in evaluating the changes in anatomical structures and neurological functions of the injured brain. The prolongation or lack of wave v lateney of BAEP in severe head injury was the featare of primary brainstem injury. At the same time.BAEP is also valuable for guiding the treatment and useful in predicting the prognosis.

通过61例急性颅脑损伤患者的研究,发现脑外伤后,BAEP的异常率与GCS负相关,损伤越重,颅内压(ICP)越高,BAEP异常越明显。同时表明,CT显示中线移位越重,侧室、环池受压越显著,BAEP异常率越高。提示颅脑损伤时,颅内压、CT及BAEP呈同步变化。BAEP结合CT检查可以互补,说明神经生理学检查技术BAEP与神经结构学变化CT及生物物理学指标ICP间有内在关系。强调BAEP对脑损伤病情判断有重要价值。

5 cases of primary brainstem injury caused by traffic accidemt with hypothermal hibernation (rectum temperature between 30℃to 35℃) were studied. 4 cases survived,and 1 died of serious complications.3 cases were followed up,of whom 2 patients became normal and 1 patient recoverd partly.The author believed that early treatment of low hypothermal artificial hibernation could provide remarkable protective effect for brainstem functions of patients with primary brainstem injury.

本文报告采用早期浅低温冬眠治疗格拉斯哥昏迷量表GCS4-6分的原发性脑干损伤5例,存活4例,因合并症死亡1例,随访3例,2例已恢复正常,1例部份恢复工作。作者认为,早期浅低温冬眠治疗对原发性脑子损伤的脑干功能有显著的保护作用。

 
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