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[急诊室中的影像学检查]

[Imaging in the emergency room].

作者信息

Kloth J K, Kauczor H-U, Hosch W

机构信息

Abteilung Diagnostische und Interventionelle Radiologie, Universitätsklinik Heidelberg, Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2011 Oct;106(2):82-8. doi: 10.1007/s00063-011-0045-2. Epub 2011 Oct 29.

Abstract

In order to reduce mortality in severely injured patients, a rapid radiologic diagnosis is essential. Sonography plays a role only as a focused assessment with sonography for trauma (FAST) to clarify free intraperitoneal fluid immediately on admittance. Today, whole-body multislice helical computed tomography (CT) has become increasingly important as a diagnostic tool. Based on the results of the CT scan, patients can be referred for laparotomy or safely classified for "wait and see" treatment. Although the reduction in injury-related mortality would outweigh the risk of radiation dose, the indiscriminate use of CT for patients with minor injuries is not justified and must be avoided.

摘要

为降低重伤患者的死亡率,快速的放射学诊断至关重要。超声检查仅作为创伤重点超声评估(FAST)发挥作用,以便在入院时立即明确腹腔内有无游离液体。如今,全身多层螺旋计算机断层扫描(CT)作为一种诊断工具已变得越来越重要。根据CT扫描结果,患者可被转诊进行剖腹手术或被安全分类以进行“观察等待”治疗。尽管与损伤相关的死亡率降低将超过辐射剂量风险,但对轻伤患者不加区分地使用CT是不合理的,必须避免。

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