Meredith J W, Trunkey D D
Department of Surgery, Wake Forest University Medical Center, Winston-Salem, North Carolina.
Surg Clin North Am. 1988 Apr;68(2):255-68. doi: 10.1016/s0039-6109(16)44476-2.
Computed tomography has become an important adjunct in the evaluation of the patient with blunt abdominal trauma. It provides quantitative information about hemoperitoneum as well as qualitative information about the source of hemoperitoneum. CT scanning also evaluates the retroperitoneal organs and retroperitoneal hematoma more accurately than any other available imaging technique. Like any other diagnostic tool, the CT scan must not be overused or abused. This technique should be applied only to stable patients and only in institutions with up-to-date equipment, a committed radiology and surgery staff, and appropriate monitoring equipment in the CT suite. If proper technique is used, then high-quality scans can be obtained which, if interpreted by experienced personnel in the light of the clinical findings, can improve our management of selected trauma patients.
计算机断层扫描已成为评估钝性腹部创伤患者的重要辅助手段。它提供了有关腹腔积血的定量信息以及有关腹腔积血来源的定性信息。与任何其他可用的成像技术相比，CT扫描还能更准确地评估腹膜后器官和腹膜后血肿。与任何其他诊断工具一样，CT扫描绝不能过度使用或滥用。这项技术仅应适用于病情稳定的患者，且仅适用于拥有最新设备、敬业的放射科和外科工作人员以及CT检查室配备适当监测设备的机构。如果使用得当，就能获得高质量的扫描图像，由经验丰富的人员结合临床发现进行解读，可改善我们对部分创伤患者的管理。
