双期CT用于评估高能钝性创伤中的急性血管损伤：影像学表现及治疗意义
Dual-phase CT for the assessment of acute vascular injuries in high-energy blunt trauma: the imaging findings and management implications.
作者信息
Iacobellis Francesca, Ierardi Anna M, Mazzei Maria A, Magenta Biasina Alberto, Carrafiello Gianpaolo, Nicola Refky, Scaglione Mariano
机构信息
1 Department of Diagnostic Imaging, Pineta Grande Medical Center, Castel Volturno, Italy.
2 Department of Radiology, Second University of Naples, Naples, Italy.
出版信息
Br J Radiol. 2016;89(1061):20150952. doi: 10.1259/bjr.20150952. Epub 2016 Feb 17.
Abstract
Acute vascular injuries are the second most common cause of fatalities in patients with multiple traumatic injuries; thus, prompt identification and management is essential for patient survival. Over the past few years, multidetector CT (MDCT) using dual-phase scanning protocol has become the imaging modality of choice in high-energy deceleration traumas. The objective of this article was to review the role of dual-phase MDCT in the identification and management of acute vascular injuries, particularly in the chest and abdomen following multiple traumatic injuries. In addition, this article will provide examples of MDCT features of acute vascular injuries with correlative surgical and interventional findings.
摘要
急性血管损伤是多发创伤患者死亡的第二大常见原因；因此，迅速识别和处理对于患者存活至关重要。在过去几年中，采用双期扫描方案的多排螺旋CT（MDCT）已成为高能减速伤的首选成像方式。本文的目的是综述双期MDCT在急性血管损伤识别和处理中的作用，尤其是在多发创伤后的胸部和腹部。此外，本文将提供急性血管损伤的MDCT特征实例以及相关的手术和介入检查结果。
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