Davis J W, Hoyt D B, Mackersie R C, McArdle M S
Division of Trauma, University of California, San Diego Medical Center 92103.
J Trauma. 1990 Dec;30(12):1506-9.
We reviewed our experience with 2,809 DPL's and 1,331 CT's obtained in the resuscitative phase over a 3-year period in our trauma system to determine the significant complications associated with each modality. There were 25 DPL complications: eight false negatives, three false positives, and 14 technical errors. There were 46 CT complications including 25 false negative scans, three false positive scans, and 18 delays to the operating room from obtaining abdominal CT evaluation, with two of these delays resulting in preventable deaths. Although both modalities had low complication rates (0.9% DPL vs. 3.4% CT), DPL was associated with less preventable mortality and morbidity than CT in the evaluation of abdominal trauma.
我们回顾了在我们创伤系统中3年复苏阶段获得的2809次诊断性腹腔灌洗（DPL）和1331次CT检查的经验，以确定与每种检查方式相关的重大并发症。DPL有25例并发症：8例假阴性、3例假阳性和14例技术错误。CT有46例并发症，包括25例假阴性扫描、3例假阳性扫描以及18例因进行腹部CT评估而导致手术室延迟的情况，其中2例延迟导致了可避免的死亡。尽管两种检查方式的并发症发生率都较低（DPL为0.9%，CT为3.4%），但在腹部创伤评估中，DPL与CT相比，可预防的死亡率和发病率更低。
