Radiology Department, King´s College Hospital NHS Foundation Trust, London, UK.
Radiology Department, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
Br J Radiol. 2021 Mar 1;94(1119):20200530. doi: 10.1259/bjr.20200530. Epub 2020 Oct 29.
A variety of different external and internal medical devices are used in the acute setting to maintain life support and manage severely injured and unstable trauma or emergency patients. These devices are inserted into the acutely ill patient with the specific purpose of improving outcome, but misplacement can cause additional morbidity and mortality. Consequently, meaningful interpretation of the position of devices can affect acute management. Some devices such as nasopharyngeal, nasogastric and endotracheal tubes and chest and surgical drains are well known to most clinicians, however, little formal training exists for radiologists in composing their report on the imaging of these devices. The novice radiologist often relies on tips and phrases handed down in an aural tradition or resorts to phrases such as: "position as shown". Furthermore, radiologists with limited experience in trauma might not be familiar with the radiological appearance of other more specific devices. This review will focus on the most common medical devices used in acute trauma patients, indications, radiological appearance and their correct and suboptimal positioning.
在急性治疗环境中，使用了各种不同的外部和内部医疗设备来维持生命支持，并治疗严重受伤和不稳定的创伤或急症患者。这些设备被插入急性病患者体内，具有改善预后的特定目的，但放置不当会导致额外的发病率和死亡率。因此，对设备位置的有意义的解释可以影响急性治疗。一些设备，如鼻咽、鼻胃管和气管内管以及胸管和外科引流管，大多数临床医生都很熟悉，但是，放射科医生在撰写这些设备的影像学报告方面的正规培训很少。新手放射科医生通常依赖于在听觉传统中流传下来的技巧和短语，或者诉诸于“如所示位置”等短语。此外，在创伤方面经验有限的放射科医生可能不熟悉其他更具体设备的影像学表现。这篇综述将重点介绍在急性创伤患者中最常见的医疗设备、适应证、影像学表现以及其正确和不理想的位置。
