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头颅计算机断层扫描在儿童脑和脑膜炎症性疾病诊断与治疗中的意义(作者译)

[The significance of cranial computerized tomography for diagnosis and therapy of inflammatory diseases of the brain and meninges in children (author's transl)].

作者信息

Kotlarek F, Hauke P, Zeumer H

出版信息

Monatsschr Kinderheilkd (1902). 1979 Feb;127(2):75-9.

PMID:763244
Abstract

The significance of cranial computerized tomography (CCT) for the diagnosis and therapy of inflammatory diseases of the central nervous system in children is discussed in connection with five characteristic case studies. CCT is shown to be superior to classical neuroradiological approaches, and to allow important diagnostic insights: 1. the early recognition of diffuse brain edema and the resulting possibility of an early begin of therapy--2. the pathological expansions of the cerebral ventricles of various etiology before a pathological enlargement of the head can be detected, and the size of the ventricles after neurosurgical therapy can be measured--3. the early recognition of space-occupying inflammatory complications.

摘要

结合五个典型病例研究,探讨了头颅计算机断层扫描(CCT)在儿童中枢神经系统炎性疾病诊断和治疗中的意义。结果表明,CCT优于传统神经放射学方法,并能提供重要的诊断依据:1. 早期识别弥漫性脑水肿,从而有可能尽早开始治疗;2. 在头颅出现病理性增大之前,检测出各种病因导致的脑室病理性扩张,并测量神经外科治疗后脑室的大小;3. 早期识别占位性炎性并发症。

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