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Updated: Jan 24, 2026

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战争时期的穿透塞拉尔/帕拉塞拉尔伤害:基于轨迹的新型分类和管理
Andrii Sirko1, Vadym Perepelytsia2, Ehsan Dowlati3,4
11Center for Сerebral Neurosurgery, Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro.
Journal of neurosurgery
|January 22, 2026
概括
涉及部区域的穿透性脑损伤 (PBI) 的新分类系统根据弹子轨迹对损伤进行分类. 跨皮层 (TC) 损伤显示出更高的神经血管风险,而跨基层 (TB) 损伤呈现出更多的CSF泄漏,指导更好的管理.
科学领域:
- 神经外科 神经外科
- 创伤外科 手术 创伤外科
- 神经临界护理是指神经临界护理.
背景情况:
- 影响部区域的透性脑损伤 (PBIs) 是罕见且复杂的.
- 靠近关键的神经血管结构导致高发病率.
- 现有的分类系统没有充分解决战时特定的PBIs.
研究的目的:
- 引入一个新的基于轨迹的分类系统,用于塞拉地区的PBIs.
- 加强战时相关伤害的诊断框架.
- 指导管理策略,改善受影响患者的预后.
主要方法:
- 涉及至关重要的伤区 (CRISIZ) 的PBIs的回顾性分析.
- 根据射弹路径将其分为跨基底 (TB) 和跨皮层 (TC) 轨迹.
- 临床表现,成像,并发症,治疗和结果的比较 (格拉斯哥6个月后的结果表).
主要成果:
- 分析了29名涉及CRISIZ的PBI患者.
- 结核病伤害 (62.1%) 比TC伤害 (37.9%) 更频繁.
- 在TC损伤中,血管损伤 (81.8%) 和出血的发生率更高,而结核病损伤中,脑液鼻的发生率更高 (66.7%).
- 整体住院死亡率为10.3%,其中75.9%的人取得了良好的结果.
结论:
- 射弹轨迹显著影响PBI模式和部区域的临床结果.
- 结核病损伤与更大的神经血管并发症有关;结核病损伤通常会导致CSF泄漏.
- 拟议的分类系统为评估和管理这些高风险伤害提供了实际框架.
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