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[计算机断层扫描在腹部创伤中的诊断潜力]

[The diagnostic potentials of computed tomography in abdominal trauma].

作者信息

Gerganov M, Tonchev Z

出版信息

Khirurgiia (Sofiia). 1990;43(6):50-4.

PMID:2102520
Abstract

Experience is recorded with the application of computer tomography in 16 patients with open and blunt abdominal trauma. In 15 patients (93.7 per cent) the computer-tomographic diagnosis matched the clinical and the operative diagnosis. In one injury to the spleen inflicted with a knife and scanty hemoperitoneum scanning gave negative result. It is emphasized that computer tomography is a valuable modern diagnostic method in traumatic injury to the parenchymatous abdominal organs, allowing to determine the nature and degree of the injury and to adopt adequate therapeutic approach. The use of this method is justifiable in severe traumatic injuries, presenting diagnostic difficulties. Absolutely reliable are only the positive results. Computer tomography is a valuable tool of diagnosis for detecting and locating postoperative abdominal complications. Its possibilities in injuries to hollow abdominal organs are at present limited.

摘要

记录了16例开放性和钝性腹部创伤患者应用计算机断层扫描的经验。15例患者(93.7%)的计算机断层扫描诊断与临床和手术诊断相符。1例脾脏刀刺伤且腹腔积血较少的患者扫描结果为阴性。强调计算机断层扫描是腹部实质性器官创伤的一种有价值的现代诊断方法,能够确定损伤的性质和程度并采取适当的治疗方法。在存在诊断困难的严重创伤中使用该方法是合理的。只有阳性结果是绝对可靠的。计算机断层扫描是检测和定位术后腹部并发症的一种有价值的诊断工具。目前其在腹部中空器官损伤方面的应用可能性有限。

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