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目的探讨联合使用婴幼儿神经创伤评分(TINS)和CT检查在小儿重型颅脑损伤中的应用,为判断病情及合理治疗提供更加准确地依据。方法回顾性分析小儿外伤性脑水肿41例使用TINS和CT检查在病情判断中的关系。结果相比格拉斯哥昏迷指数(GCS),TINS更加适用于小儿颅脑外伤;TINS和CT检查在外伤性脑水肿的小儿患者中有较好的相关性。结论结合TINS和CT检查这一方法要比单纯使用其中一种方法在小儿颅脑损伤的病情判断上更优,该方法有助于减少漏诊、误诊,从而降低致死率和致残率。
Objective To explore the application of TINS and CT in infants with severe craniocerebral injury and to provide a more accurate basis for judging the condition and reasonable treatment. Methods Retrospective analysis of pediatric traumatic brain edema in 41 cases using TINS and CT examination in the judgment of the disease. Results Compared with Glasgow coma index (GCS), TINS was more suitable for pediatric craniocerebral injury; TINS and CT examination had a good correlation in pediatric patients with traumatic brain edema. Conclusion This method combined with TINS and CT is superior to the method of using only one of the two methods in judging the condition of traumatic brain injury in children. This method can help reduce the missed diagnosis and misdiagnosis, thus reducing the mortality and morbidity.