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急诊放射学中的骨盆环损伤

Pelvic ring disruptions in emergency radiology.

作者信息

Stambaugh Lloyd E, Blackmore C C

机构信息

Harborview Medical Center, Box 359728, 325 Ninth Avenue, Seattle, WA 98104, USA.

出版信息

Eur J Radiol. 2003 Oct;48(1):71-87. doi: 10.1016/s0720-048x(03)00208-0.

Abstract

Pelvic ring disruptions are a result of high-energy trauma and are a significant cause of morbidity and mortality in major trauma patients. The initial pelvic radiograph, in combination with computed tomographic imaging in selected patients, provides a quick and accurate method of diagnosing pelvic fractures. Pelvic fracture classification schemes have evolved over the past few decades, and include description of the mechanism of injury and assessment of pelvic stability. Understanding these classifications is important in developing an approach to interpretation of pelvic imaging and prediction of associated injuries. Armed with these tools, the emergency radiologist can detect pelvic fractures early and guide subsequent imaging and therapy.

摘要

骨盆环损伤是高能量创伤的结果,是主要创伤患者发病和死亡的重要原因。初始骨盆X线片,结合对部分患者进行的计算机断层扫描成像,提供了一种快速准确诊断骨盆骨折的方法。在过去几十年里,骨盆骨折分类方案不断发展,包括对损伤机制的描述和骨盆稳定性的评估。了解这些分类对于制定骨盆影像学解读方法和预测相关损伤非常重要。有了这些工具,急诊放射科医生可以早期发现骨盆骨折,并指导后续的影像学检查和治疗。

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