钝性胸腹部创伤患者创伤性胃肠道损伤的特异性放射学表现

Specific Radiological Findings of Traumatic Gastrointestinal Tract Injuries in Patients With Blunt Chest and Abdominal Trauma.

作者信息

Kokabi Nima, Harmouche Elie, Xing Minzhi, Shuaib Waqas, Mittal Pardeep K, Wilson Kenneth, Johnson Jamlik-Omari, Nicolaou Savvas, Khosa Faisal

机构信息

Department of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia, USA.

出版信息

Can Assoc Radiol J. 2015 May;66(2):158-63. doi: 10.1016/j.carj.2014.11.003. Epub 2015 Feb 20.

DOI:10.1016/j.carj.2014.11.003

PMID:25703545

Abstract

Gastrointestinal hollow viscus injury after blunt chest and abdominal trauma is uncommon and complicates 0.6%-1.2% of all cases of trauma. Early recognition of such injuries significantly decreases morbidity and mortality. Since physical examination is not accurate in detecting such injuries, contrast-enhanced computed tomography has been the mainstay for diagnosis in many emergency departments. This pictorial essay aims to review the incidence, mechanisms, and signs of gastrointestinal hollow viscus injuries in the setting of blunt chest and abdominal trauma.

摘要

钝性胸腹部创伤后胃肠道中空脏器损伤并不常见，在所有创伤病例中占0.6%-1.2%。早期识别此类损伤可显著降低发病率和死亡率。由于体格检查在检测此类损伤时并不准确，增强计算机断层扫描已成为许多急诊科诊断的主要手段。这篇图文并茂的文章旨在综述钝性胸腹部创伤情况下胃肠道中空脏器损伤的发生率、机制和体征。