Filiatrault D, Longpré D, Patriquin H, Perreault G, Grignon A, Pronovost J, Boisvert J
Pediatr Radiol. 1987;17(5):373-9. doi: 10.1007/BF02396611.
During a 5.5-year retrospective study (1979-84) 170 children with blunt abdominal trauma were investigated with intravenous urography (IVU), ultrasound (US) and scintigraphy. For the investigation of the last 71 children (after 1982) a 4th generation CT scanner was available in the same department. The results of radiologic investigations were compared with clinical outcome in 157 and results at laparotomy in 13 children. During the study period, real time US became the first line screening tool, and was combined with IVU in suspected renal trauma. In spite of permanent accessibility of CT since November 1982, the latter was used only in complex diagnostic problems or in children with multiple injuries (8% of the series). There were no deaths resulting from abdominal trauma. During the study, the incidence of splenectomy and exploratory laparotomy decreased, and no diagnostic peritoneal lavage were performed after 1980.
在一项为期5.5年的回顾性研究（1979 - 1984年）中，对170名腹部钝性创伤儿童进行了静脉尿路造影（IVU）、超声（US）和闪烁扫描检查。对于最后71名儿童（1982年以后）的检查，同一科室有一台第四代CT扫描仪可供使用。将157名儿童的放射学检查结果与临床结果以及13名儿童的剖腹手术结果进行了比较。在研究期间，实时超声成为一线筛查工具，并在疑似肾创伤时与IVU联合使用。尽管自1982年11月起CT一直可用，但后者仅用于复杂的诊断问题或多发伤儿童（该系列的8%）。没有因腹部创伤导致的死亡。在研究期间，脾切除术和剖腹探查术的发生率下降，1980年后未进行诊断性腹腔灌洗。
