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尸检全身计算机断层血管摄影术显示致命车祸中血管破裂的病例。

Postmortem whole-body computed tomography angiography visualizing vascular rupture in a case of fatal car crash.

机构信息

Centre for Forensic Imaging and Virtopsy, Institute of Forensic Medicine, University of Bern, Bern, Switzerland.

出版信息

Arch Pathol Lab Med. 2010 Jan;134(1):115-9. doi: 10.5858/2008-0503-CRR3.1.

Abstract

In addition to the increasingly significant role of multislice computed tomography in forensic pathology, the performance of whole-body computed tomography angiography provides outstanding results. In this case, we were able to detect multiple injuries of the parenchymal organs in the upper abdomen as well as lesions of the brain parenchyma and vasculature of the neck. The radiologic findings showed complete concordance with the autopsy and even supplemented the autopsy findings in areas that are difficult to access via a manual dissection (such as the vasculature of the neck). This case shows how minimally invasive computed tomography angiography can serve as an invaluable adjunct to the classic autopsy procedure.

摘要

除了多层计算机断层扫描在法医学中的作用日益显著外,全身计算机断层血管摄影的表现也提供了出色的结果。在这个案例中,我们能够检测到上腹部实质器官的多处损伤,以及脑实质和颈部血管的损伤。放射学发现与尸检完全一致,甚至在通过手动解剖难以触及的区域(如颈部血管)补充了尸检结果。这个案例表明,微创性计算机断层血管摄影如何成为经典尸检程序的宝贵辅助手段。

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