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小儿钝性肠损伤的CT表现

CT findings in pediatric blunt intestinal injury.

作者信息

Khasawneh Ruba, Ramakrishnaiah Raghu H, Singh Sumit, Hegde Shilpa V

机构信息

Section of Pediatric Radiology, Department of Radiology, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, 1 Children's way, Little Rock, AR, 72202, USA.

出版信息

Emerg Radiol. 2013 Dec;20(6):545-52. doi: 10.1007/s10140-013-1122-z. Epub 2013 Apr 13.

Abstract

Trauma is the leading cause of morbidity and mortality in children. Computed tomography examinations play an important role in the management of patients with major trauma. Though abdominal trauma is less common compared to head injuries, the associated morbidity and mortality are substantial. It is easier to diagnose solid abdominal injuries than intestinal or mesenteric injuries on CT examinations. However, recognition of bowel injury is very important as a delay in diagnosis increases the morbidity and mortality. Hence, with every CT of the abdomen and pelvis, the radiologist must look for signs of bowel and mesenteric injury. This pictorial review presents various CT findings of blunt intestinal injury in children.

摘要

创伤是儿童发病和死亡的主要原因。计算机断层扫描检查在严重创伤患者的治疗中起着重要作用。虽然与头部损伤相比,腹部创伤不太常见,但相关的发病率和死亡率却很高。在CT检查中,诊断实性腹部损伤比诊断肠道或肠系膜损伤更容易。然而,认识到肠损伤非常重要,因为诊断延迟会增加发病率和死亡率。因此,在每次进行腹部和骨盆CT检查时,放射科医生都必须寻找肠和肠系膜损伤的迹象。本图像综述展示了儿童钝性肠损伤的各种CT表现。

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