This paper aimed to explore the application values of computed tomography (CT) imaging in the treatment of patients with severe traumatic brain injury (STBI), to provide help in the treatment of STBI. In this study, 86 patients with STBI were selected as the research objects and examined by CT based on a self-adaptive particle swarm algorithm (APSO). Besides, patients were treated with hyperbaric oxygen, high-dose hormone shock, and naloxone hydrochloride. The results showed that there was a locally low-density brain contusion and laceration injury area, spot-like high-density hemorrhage, and subarachnoid hemorrhage in the images of CT examination. The ventricles of diffuse brain injury were compressed and reduced, and the white matter indicated that the ventricles and cisterns became smaller. Asymmetric hemorrhage and subarachnoid hemorrhage were scattered at the white matter junction. In short, subarachnoid hemorrhage, spot-like high-density hemorrhage at the injury site, and diminished ventricles were typical CT imaging manifestations of STBI. Naloxone hydrochloride method could effectively alleviate the matrix metalloproteinase-9 (MMP-9) (23.47 ± 3.45) and S100 calcium-binding protein B (S100B) (0.16 ± 0.06) of patients, which had reliable guiding significance for the later CT examination clinically.

中文翻译：

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用于诊断严重创伤性脑损伤的 CT 图像自适应粒子群优化

本文旨在探讨计算机断层扫描（CT）成像在严重创伤性脑损伤（STBI）患者治疗中的应用价值，为STBI的治疗提供帮助。本研究选取 86 例 STBI 患者作为研究对象，并基于自适应粒子群算法（APSO）进行 CT 检查。此外，患者接受高压氧、大剂量激素休克和盐酸纳洛酮治疗。结果显示CT检查图像有局部低密度脑挫裂伤区、点状高密度出血、蛛网膜下腔出血。弥漫性脑损伤的脑室受压缩小，白质提示脑室和脑池变小。白质交界处散在不对称出血和蛛网膜下腔出血。总之，蛛网膜下腔出血、损伤部位点状高密度出血、脑室缩小是STBI的典型CT影像表现。盐酸纳洛酮法可有效缓解患者的基质金属蛋白酶9（MMP-9）（23.47±3.45）和S100钙结合蛋白B（S100B）（0.16±0.06），对临床后期CT检查具有可靠的指导意义.