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最新技术:神经血管创伤的无创成像与管理

State of the art: noninvasive imaging and management of neurovascular trauma.

作者信息

Ray Charles E, Spalding Shaun C, Cothren C Clay, Wang Wei-Shin, Moore Ernest E, Johnson Stephen P

机构信息

Diagnostic and Interventional Radiology, Denver Health Medical Center, 777 Bannock St, Denver, CO 80204, USA.

出版信息

World J Emerg Surg. 2007 Jan 9;2:1. doi: 10.1186/1749-7922-2-1.

DOI:10.1186/1749-7922-2-1
PMID:17212833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1796545/
Abstract

Neurotrauma represents a significant public health problem, accounting for a significant proportion of the morbidity and mortality associated with all traumatic injuries. Both blunt and penetrating injuries to cervicocerebral vessels are significant and are likely more common than previously recognized. Imaging of such injuries is an important component in the evaluation of individuals presenting with such potential injuries, made all the more important since many of the vascular injuries are clinically silent. Management of injuries, particularly those caused by blunt trauma, is constantly evolving. This article addresses the current state of imaging and treatment of such injuries.

摘要

神经创伤是一个重大的公共卫生问题,在所有创伤性损伤相关的发病率和死亡率中占相当大的比例。颈脑血管的钝性和穿透性损伤都很严重,而且可能比以前认为的更常见。对此类损伤的影像学检查是评估有此类潜在损伤患者的重要组成部分,由于许多血管损伤在临床上没有症状,这一点就显得尤为重要。损伤的处理,尤其是钝性创伤所致损伤的处理,一直在不断发展。本文阐述了此类损伤的影像学检查和治疗现状。

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本文引用的文献

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Prospective evaluation of screening multislice helical computed tomographic angiography in the initial evaluation of penetrating neck injuries.多层螺旋计算机断层血管造影术在穿透性颈部损伤初始评估中的筛查前瞻性评价
J Trauma. 2006 Jul;61(1):144-9. doi: 10.1097/01.ta.0000222711.01410.bc.
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Sixteen-slice multi-detector computed tomographic angiography improves the accuracy of screening for blunt cerebrovascular injury.16层多探测器计算机断层血管造影术提高了钝性脑血管损伤筛查的准确性。
J Trauma. 2006 Jun;60(6):1204-9; discussion 1209-10. doi: 10.1097/01.ta.0000220435.55791.ce.
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Computed tomographic angiography for the diagnosis of blunt cervical vascular injury: is it ready for primetime?
椎动脉损伤合并颈椎不稳定创伤:机制、循证管理及治疗选择
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