Application of intra- and post-operative ultrasound in traumatic brain injury
- VernacularTitle:超声在颅脑创伤术中及术后的临床应用价值
- Author:
De-lin, YU
;
Ping, MA
;
Zeng-hui, LI
;
Kai, XUE
;
Gui-lan, QU
- Publication Type:Journal Article
- Keywords:
Ultrasonography;
Craniocerebral trauma
- From:
Chinese Journal of Medical Ultrasound (Electronic Edition)
2008;5(2):248-254
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of B-mode intra- and post-operative ultrasound in patients with traumatic brain injuries. Methods B-mode intra- and post-operative ultrasound were performed 35 times in 24 patients, including 7 times of intra-operation in 7 patients and 28 times of post-operation in 17 patients. Results During operation epidural hematomas in 3 cases as well as intracranial hematomas in 2 cases, subdural hematomas in 1 case, diffused brain swelling in 1 case were found. After operation epidural hematomas were examined in 4 cases as well as subdural hematomas in 1 case, delayed intracranial hematomas in 6 cases, scattered contusion and laceration of the brain in 12 cases, acute obstructive hydrocephalus in 1 case, and subdural hydroma in 4 cases. Six cases underwent operations again because of delayed hematomas, contusion and laceration of the brain. B-mode ultrasound was compared with CT scan and the total coincidence rate was 85.4%.Conclusions B-mode ultrasound is helpful to examine delayed hematomas and other emergent complications. It may save time and may improve rescue rate and has a good coincidence with CT scan. B-mode ultrasound may be widely used as a routine way in neurotrauma ICU.
