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高级创伤生命支持。从放射学角度看的ABCDE。

Advanced Trauma Life Support. ABCDE from a radiological point of view.

作者信息

Kool Digna R, Blickman Johan G

机构信息

Department of Diagnostic Imaging, University Medical Centre Nijmegen, Geert Groote plein 10, route 667, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.

出版信息

Emerg Radiol. 2007 Jul;14(3):135-41. doi: 10.1007/s10140-007-0633-x. Epub 2007 Jun 12.

DOI:10.1007/s10140-007-0633-x
PMID:17564732
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1914302/
Abstract

Accidents are the primary cause of death in patients aged 45 years or younger. In many countries, Advanced Trauma Life Support(R) (ATLS) is the foundation on which trauma care is based. We will summarize the principles and the radiological aspects of the ATLS, and we will discuss discrepancies with day to day practice and the radiological literature. Because the ATLS is neither thorough nor up-to-date concerning several parts of radiology in trauma, it should not be adopted without serious attention to defining the indications and limitations pertaining to diagnostic imaging.

摘要

事故是45岁及以下患者的主要死因。在许多国家,高级创伤生命支持(ATLS)是创伤护理的基础。我们将总结ATLS的原则和放射学方面的内容,并讨论其与日常实践及放射学文献的差异。由于ATLS在创伤放射学的几个方面既不全面也不与时俱进,因此在采用时应认真关注确定与诊断成像相关的适应症和局限性,否则不应采用。

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本文引用的文献

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Predicting intracranial traumatic findings on computed tomography in patients with minor head injury: the CHIP prediction rule.预测轻度颅脑损伤患者计算机断层扫描上的颅内创伤性发现:CHIP预测规则
Ann Intern Med. 2007 Mar 20;146(6):397-405. doi: 10.7326/0003-4819-146-6-200703200-00004.
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Visceral torso computed tomography for clearance of the thoracolumbar spine in trauma: a review of the literature.用于创伤性胸腰椎脊柱评估的内脏躯干计算机断层扫描:文献综述
J Trauma. 2006 Apr;60(4):915-20. doi: 10.1097/01.ta.0000196926.79065.6e.
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CT dose reduction and dose management tools: overview of available options.CT剂量降低与剂量管理工具:可用选项概述
Radiographics. 2006 Mar-Apr;26(2):503-12. doi: 10.1148/rg.262055138.
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Are occult pneumothoraces truly occult or simply missed?隐匿性气胸是真的隐匿还是仅仅是漏诊了?
J Trauma. 2006 Feb;60(2):294-8 discussion 298-9. doi: 10.1097/01.ta.0000202462.96207.18.
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Imaging of diaphragm injuries.膈肌损伤的影像学检查
Radiol Clin North Am. 2006 Mar;44(2):199-211, vii. doi: 10.1016/j.rcl.2005.10.003.
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Thoracic vascular injury.
Radiol Clin North Am. 2006 Mar;44(2):181-97, vii. doi: 10.1016/j.rcl.2005.10.007.
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