Killeen Karen L, Shanmuganathan K, Mirvis Stuart E
Department of Diagnostic Radiology and Maryland Shock-Trauma Center, University of Maryland Medical Center, Baltimore 21201, USA.
Semin Ultrasound CT MR. 2002 Apr;23(2):184-92. doi: 10.1016/s0887-2171(02)90004-1.
Traumatic diaphragmatic injury (TDI) occurs in approximately 6% of patients after major blunt trauma to the abdomen. Detection of such injuries is often problematic because of nonspecific clinical signs and the presence of additional intra-abdominal injuries. As the use of nonsurgical management to treat solid organ injuries increases, helical computed tomography (CT) must play a much greater role in the detection of intra-abdominal injuries. Therefore, it is crucial that diaphragmatic injuries are not overlooked, as fewer will be diagnosed at exploratory laparotomy. This article reviews the recent advances in helical CT that are helpful in diagnosing TDI and addresses the selected application of magnetic resonance imaging.
创伤性膈肌损伤（TDI）约占腹部严重钝性创伤患者的6%。由于临床体征不具特异性以及存在其他腹部损伤，此类损伤的检测往往存在问题。随着非手术治疗实体器官损伤的应用增加，螺旋计算机断层扫描（CT）在检测腹部损伤方面必须发挥更大作用。因此，至关重要的是不能忽视膈肌损伤，因为在剖腹探查术中诊断出的此类损伤会更少。本文回顾了有助于诊断TDI的螺旋CT的最新进展，并探讨了磁共振成像的特定应用。
