应用螺旋CT强化检查方法诊断腹部闭合性损伤的研究  

The study of enhanced spiral CT examination of diagnosis in patients with blunt abdominal injury

作　　者：庞殿申 

机构地区：[1]山东省茌平县人民医院,252100

出　　处：《中国实用医药》2011年第14期46-47,共2页China Practical Medicine

摘　　要：目的探讨应用螺旋CT强化检查方法,对急性消化道损伤进行有效诊断的研究。方法检测腹部闭合性损伤患者,观察组45例、治疗组45例,采取增强扫描经肘前静脉团注对比剂碘普胺(300mg/ml)100ml,注射流率为3·5ml/s和普通腹部CT平扫对比。结果观察组患者开腹准确率、并发症、死亡率均优于对照组,差异有统计学意义(P<0·05)。结论应用CT强化检查方法,针对急性消化道损伤的诊断具有误诊率低,开腹准确率高,并发症少等优点,可作为腹部闭合伤消化道损伤的有效诊断方法。Objective To investigate the enhanced spiral CT examination methods for diagnosis of acute gastrointestinal injury Methods Treatment group 45 cases,taken before the enhanced scan through the elbow of iodine contrast agent bolus general amine（300 mg/ml） 100 ml,injection flow rate of 3.5 ml/s and the general contrast abdominal CT scan Results The patients laparotomy accuracy,complications and mortality were more effective than the control group,with significant differences（P0.05） Conclusion CT and strengthen inspection methods for the diagnosis of acute gastrointestinal injury misdiagnosis rate,abdominal high accuracy and less complications,closed abdominal injury can be used as an effective diagnostic method for gastrointestinal injury.

关 键 词：螺旋CT 强化 消化道损伤 诊断 

分 类 号：R656.1[医药卫生—急诊医学]