外伤危急症患者腹部急诊增强CT扫描的诊断价值分析  

Diagnostic Value of Enhanced CT Scan in Emergency Patients with Trauma Emergency

作　　者：明建中[1] 刘涛[1] 相呈县[1] 仇容[1] 吴京兰[1] 

机构地区：[1]深圳市南山区人民医院介入放射科,广东深圳518052

出　　处：《CT理论与应用研究（中英文）》2017年第2期247-252,共6页Computerized Tomography Theory and Applications

摘　　要：目的:分析多层增强CT检查对外伤危急症患者腹部损伤的诊断价值。方法:回顾性分析15例外伤危急症患者的多层CT急诊平扫和增强检查资料。结果:15例外伤危急症患者中,骨盆骨折8例(CT增强显示:1伴动脉血管破裂出血:1例左侧髂总动脉破裂,5例伴一侧髂内动脉分支破裂出血,2例双侧髂内动脉分支破裂出血;2伴肝破裂出血2例,脾破裂出血3例,肾破裂1例);小肠及系膜损伤并多发断裂1例伴肝脾破裂;肝破裂1例;脾破裂4例;左侧臀上动脉破裂1例。增强CT可直接显示造影剂外溢及脏器破口外伤改变。结论:多层增强CT与单纯平扫CT比较,在显示血管破裂及脏器出血定位方面有重要的临床应用价值,有条件的医院可积极应用推广。Objective： To analyze the diagnostic value of multi-slice CT in the diagnosis of trauma patients. Methods： A retrospective analysis was performed on 15 cases of emergency patients with critical disease after trauma, and the data of emergency plain and enhanced CT were retrospectively analyzed. Results： 15 cases of acute trauma patients, 8 cases of pelvic fractures（CT contrast-enhanced A. with arterial hemorrhage： 1 cases of left common iliac artery rupture, 5 cases with unilateral internal iliac artery branch bleeding, 2 cases of bilateral internal iliac artery branch bleeding; b. 2 cases with hepatic rupture and 3 cases with spleen rupture）; small intestine and mesentery and multiple fracture 1 cases with rupture of liver and spleen; liver rupture in 1 cases; 4 cases of splenic rupture; left superior gluteal artery rupture in 1 cases. Enhanced CT can directly display the contrast extravasations and organ rupture injury changes. Conclusion： Multi slice spiral CT enhanced display with comparison of plain CT scan has important clinical application value of vascular rupture and organ hemorrhage location, the conditions of the hospital can be an active application.

关 键 词：外伤 多层螺旋CT 增强扫描 

分 类 号：R641[医药卫生—外科学] R816.5[医药卫生—临床医学]