Adams J H, Doyle D, Graham D I, Lawrence A E, McLellan D R, Gennarelli T A, Pastuszko M, Sakamoto T
Neuropathol Appl Neurobiol. 1985 Jul-Aug;11(4):299-308. doi: 10.1111/j.1365-2990.1985.tb00027.x.
A previously described method of quantifying cerebral contusions in man (the contusion index) caused by non-missile head injury has been modified and applied to a larger series of cases, and used to assess contusions in experimental head injuries. The initial findings in man have been confirmed, viz. that contusions are most severe in the frontal and temporal lobes; that contusions may be entirely absent in a patient dying as a result of a head injury; that there is no correlation between the severity of contusions and the nature of the injury; that the concept of contrecoup must continue to be questioned; that contusions are more severe in patients who have a fracture of the skull in comparison to those who do not; that contusions are more severe in patients who do not experience a lucid interval than in those who do; and that contusions are less severe in patients with diffuse axonal injury than in those who do not have diffuse axonal injury. The distribution of contusions in subhuman primates is similar to that seen in man, and they occur more frequently with short duration than with long duration acceleration.
一种先前描述的量化非投射性头部损伤所致人脑脑挫伤的方法（挫伤指数）已被改进，并应用于更多病例系列，还用于评估实验性头部损伤中的挫伤情况。人体的初步研究结果得到了证实，即：脑挫伤在额叶和颞叶最为严重；因头部损伤死亡的患者可能完全没有脑挫伤；脑挫伤的严重程度与损伤性质之间没有相关性；对冲伤的概念仍需质疑；与无颅骨骨折的患者相比，有颅骨骨折的患者脑挫伤更严重；未经历清醒期的患者比经历清醒期的患者脑挫伤更严重；与无弥漫性轴索损伤的患者相比，有弥漫性轴索损伤的患者脑挫伤较轻。非人灵长类动物脑挫伤的分布与人相似，且在短时间加速情况下比长时间加速情况下更常发生。
