Gürtler K F, Buurman R, Erbe W
Rofo. 1979 Nov;131(5):493-8. doi: 10.1055/s-0029-1231478.
Retro- and intra-peritoneal haematomas have been demonstrated in 19 patients by computer tomography. Absorption values varied from 0 to 65 Hounsfield units. Absorption values are high shortly after the trauma, but fall during the following days and weeks because of absorption and enzymatic chances of the haemaglobin and protein. A diagnosis can only be made with a knowledge of the clinical background. Tumours, abscesses and cysts must be considered in the differential diagnosis. Unlike conventional radiography, haematomas can be directly demonstrated by computer tomography. Angiography may demonstrate the point of bleeding when there is no haematoma, or if an haematoma fails to develop because bleeding is taking place into a hollow organ or a duct.
计算机断层扫描已在19例患者中显示出腹膜后和腹膜内血肿。吸收值在0至65亨氏单位之间变化。创伤后不久吸收值较高，但在随后的几天和几周内会因血红蛋白和蛋白质的吸收及酶促变化而下降。只有了解临床背景才能做出诊断。鉴别诊断时必须考虑肿瘤、脓肿和囊肿。与传统放射摄影不同，计算机断层扫描可直接显示血肿。当没有血肿时，或如果由于出血进入中空器官或管道而未形成血肿时，血管造影可显示出血点。
