Orf Ali Al, Waheed Khawaja Bilal, Baig Aftab Ahmed, Mohammad Khaled Saleh, El Sirafy Mohamed Nasr, Amin Muhammad Sohail, Arulanatham Zechriah Jebakumar
Dr. Khawaja Bilal Waheed, Department of Radiology,, King Fahad Military Medical Complex,, Dhahran, Saudi Arabia, T: +966138440000 ext: 3222, F:+96613844000-3207,
Ann Saudi Med. 2018 Jul-Aug;38(4):245-250. doi: 10.5144/0256-4947.2018.245.
Pan-scan (whole-body) computed tomography (CT) has a paramount role in the diagnosis of injuries in road traffic accidents (RTA).
Identify patterns of injuries on pan-CT scans.
Retrospective medical record review.
Tertiary care center.
The records of all RTA patients who presented to the radiology department at King Fahad Military Medical Complex (KFMMC) in Dhahran for the 3-year period from July 2014 to July 2017 and underwent pan-CT were retrospectively reviewed. Drivers and front-seat passengers with complete clinical information on seating, safety and mechanism of injury were selected. Children under 5 years of age, pregnant women and back-seat passengers were excluded. Patterns of injuries were categorized as 'no abnormality detected' (NAD), isolated or combined head, face and neck (H), isolated or combined chest, abdomen and pelvis (C) or both regions of the body (B).
Injury patterns on pan-CT scans.
305 RESULTS: Most patients were males (n=287, 94.1%). The median age was 26 years for males (IQR, 22-33 years) and 30 years for females (IQR, 28-39). More than two-thirds were drivers (all males); the remainder were front-seat passengers. Young males were most often involved. The most common type of accident was a roll-over. Of those who sustained injuries, 273 (89.5%) were not wearing a seat belt (unrestrained). The patterns of injuries were NAD (87, 28%), H (27, 9%), C (93, 30.5%), B (98, 32%).
When abnormalities were detected, most high-speed vehicular injuries affected the torso. Unrestrained young male drivers are most often involved in RTAs in Saudi Arabia.
Retrospective study with a small sample size. Types and severity of injuries on pan-CT were not documented.
None.
全景（全身）计算机断层扫描（CT）在道路交通事故（RTA）损伤诊断中起着至关重要的作用。
识别全景CT扫描上的损伤模式。
回顾性病历审查。
三级医疗中心。
回顾性审查了2014年7月至2017年7月这3年期间在达兰法赫德国王军事医疗中心（KFMMC）放射科就诊并接受全景CT检查的所有RTA患者的记录。选择了具有完整座位、安全和受伤机制临床信息的驾驶员和前排乘客。排除5岁以下儿童、孕妇和后排乘客。损伤模式分为“未检测到异常”（NAD）、孤立或合并的头部、面部和颈部（H）、孤立或合并的胸部、腹部和骨盆（C）或身体的两个区域（B）。
全景CT扫描上的损伤模式。
305例 结果：大多数患者为男性（n = 287，94.1%）。男性的中位年龄为26岁（四分位间距，22 - 33岁），女性为30岁（四分位间距，28 - 39岁）。超过三分之二是驾驶员（均为男性）；其余为前排乘客。年轻男性最常涉及。最常见的事故类型是翻车。在受伤的患者中，273例（89.5%）未系安全带（未受约束）。损伤模式为NAD（87例，28%）、H（27例，9%）、C（93例，30.5%）、B（98例，32%）。
当检测到异常时，大多数高速车辆损伤影响躯干。在沙特阿拉伯，未受约束的年轻男性驾驶员最常涉及道路交通事故。
样本量小的回顾性研究。未记录全景CT上损伤的类型和严重程度。
无。
