Kim Patrick K
Division of Traumatology, Surgical Critical Care and Emergency Surgery, Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Penn Presbyterian Medical Center, 51 North 39th Street, Medical Office Building, 1st Floor, Philadelphia, PA 19104, USA.
Surg Clin North Am. 2017 Oct;97(5):1175-1183. doi: 10.1016/j.suc.2017.06.014. Epub 2017 Aug 9.
Conventional radiography (plain film), ultrasonography, and computed tomography (CT) are important modalities for the evaluation of patients with trauma. In meta-stable or unstable patients, the combination of chest radiograph, pelvis radiograph, and focused assessment for sonography in trauma (FAST) or extended FAST rapidly triages the torso. CT has become a standard for definitive imaging in blunt trauma. CT angiography is the modality of choice for suspected vascular injuries of the neck and extremities. The impact of ionizing radiation (effective dose) from CT scans may be significant at the population level. Imaging strategies in trauma should be evaluated continuously.
传统放射成像(平片)、超声检查和计算机断层扫描(CT)是评估创伤患者的重要手段。对于病情相对稳定或不稳定的患者,胸部X线片、骨盆X线片以及创伤超声重点评估(FAST)或扩展FAST检查相结合,可快速对躯干进行分诊。CT已成为钝性创伤确定性成像的标准。CT血管造影是怀疑颈部和四肢血管损伤时的首选检查方式。CT扫描产生的电离辐射(有效剂量)对人群的影响可能很大。创伤的成像策略应持续评估。