| 刘永萍 刘明炯 邱英良 刘飞 章侃.实质性腹腔脏器钝性损伤的CT分析[J].实用中西医结合临床,2005,(5):10-12 |
| 实质性腹腔脏器钝性损伤的CT分析 |
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| DOI： |
| 中文关键词: 腹腔脏器 钝性损伤 CT 诊断 |
| 英文关键词: abdomen viscera blunt trauma CT diagnosis |
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| 中文摘要: |
| 目的：提高实质性腹腔脏器钝性损伤CT诊断的正确率并探讨其指导临床选择治疗方法的价值。方法：抽取本院近2年内的58例实质性腹腔脏器钝性损伤的病例进行回顾性分析，脾脏30例，肾脏23例，肝脏8例，有8例为脏器复合损伤，其中4例行增强扫描。结果：CT扫描清晰显示了实质性腹腔脏器钝性损伤的实质内血肿、包膜下血肿、破裂口及腹腔内积血情况，脾脏11例手术治疗，19例保守治疗；肾脏5例手术治疗，18例保守治疗；肝脏2例手术治疗，6例保守治疗。结论：CT检查是实质性腹腔脏器钝性损伤的有效诊断方法之一，并能对损伤的程度作出正确评估，为临床治疗方法的选择提供重要依据。 |
| 英文摘要: |
| Purpose:To improve the CT diagnostic accuracy of substantiality abdomen viscera blunt trauma and to provide gist that were chosen for remedial plan in clinic.Methods: 58 pantients with substantiality abdomen viscera blunt injure，including 30 cases for Splenic trauma，23 cases for nephritic trauma and 8 cases for hepatic trauma, were scaned and analysed in our hospital in recent two years.8 cases for compositly viscera trauma were included and 4 cases were scaned with contrast.Results: CT demonstarted parenchymal hemationa, subcapsular hemationa, breach, and hemoperitoneum of substantiality abdomen viscera blunt trauma.The 11 cases of blunt splenic trauma were surgery, 19 cases were treated conservatively, 5 cases of nephritic trauma were surgery, 18 cases were treated conservatively, 2 cases of hepatic trauma were surgery, 6 cases were treated conservatively.Conclusion: As one of effective methods for diagnosing substantiality abdomen viscera blunt trauma, CT can provide an important basis for choosing remedial plan clinical because of evaluating accuratly traumatic degree. |
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