, Policlinico Umberto 1, Rome, Italy.
Radiol Med. 2015 Jul;120(7):641-54. doi: 10.1007/s11547-015-0500-x. Epub 2015 Jan 30.
Trauma causes greater losses of life years and it is the most common cause of death for people under the age of 45. Time is one of the most relevant factors for the survival of injured patients, particularly the time elapsed from trauma until the resuscitation procedures. As a member of the trauma team, the radiologist contributes to the rapid diagnosis of traumatic disorders, with appropriate imaging modalities. Based on the evidence, the most appropriate diagnostic tool for severe/multiple trauma is computed tomography (CT). With the advent of multidetector CT (MDCT), radiologists are able to more effectively characterize life-threatening traumatic disorders within a few seconds in stable or stabilized patients. Considering the diagnostic potential of MDCT, conventional radiographs could be virtually abandoned in the diagnostic algorithms for adult polytraumatized patients. The radiologist helps to facilitate triage and to assess the optimal individual treatment for polytrauma patients, thus contributing to the improvement of patient outcomes. In this article, the indications for MDCT in the polytrauma setting are discussed.
创伤导致的生命年损失更大，是 45 岁以下人群的最常见死亡原因。时间是创伤患者生存的最重要因素之一，尤其是从创伤到复苏程序所经过的时间。作为创伤团队的一员，放射科医生通过适当的成像方式有助于快速诊断创伤性疾病。基于证据，对于严重/多发创伤，最合适的诊断工具是计算机断层扫描（CT）。随着多排 CT（MDCT）的出现，放射科医生能够在稳定或稳定的患者中在几秒钟内更有效地描述危及生命的创伤性疾病。考虑到 MDCT 的诊断潜力，传统的射线照片实际上可以在成人多发伤患者的诊断算法中被放弃。放射科医生有助于分诊，并评估多发伤患者的最佳个体化治疗，从而有助于改善患者的预后。本文讨论了 MDCT 在多发伤情况下的适应证。
