低容量急诊科行全身计算机断层扫描的产量：5 年经验。
Yield of whole-body computed tomography at a low-volume emergency department: A 5-year experience.
机构信息
From the Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
出版信息
Saudi Med J. 2021 Apr;42(4):428-432. doi: 10.15537/smj.2021.42.4.20200722.
OBJECTIVES
To share our experience with immediate whole-body computed tomography (WBCT) imaging for trauma patients and to determine its association with surgical intervention and hospital admission.
METHODS
This retrospective observational study included 208 trauma patients who presented to the emergency department and underwent WBCT at the King Abdulaziz University Hospital, Jeddah, Saudi Arabia between January 2014 and November 2018. We excluded pregnant patients and those who went into traumatic cardiac arrest or died before imaging.
RESULTS
Of all included patients, 48.6% were adults and 72.1% had positive findings; of these, 36.7% of patients were admitted for observation and 27.3% underwent operative interventions.
CONCLUSION
Whole-body computed tomography is a useful tool to detect significant traumatic injuries in patients presenting to the emergency department. Moreover, it may assist physicians in determining the disposition of these patients. A clear set of criteria should be established to determine which trauma patients require WBCT imaging during initial resuscitation.
目的
分享我们对创伤患者进行即刻全身计算机断层扫描（WBCT）成像的经验，并确定其与手术干预和住院的关系。
方法
本回顾性观察研究纳入了 208 例 2014 年 1 月至 2018 年 11 月在沙特阿拉伯吉达阿卜杜勒阿齐兹国王大学医院就诊并接受 WBCT 的创伤患者。我们排除了孕妇以及在成像前发生创伤性心脏骤停或死亡的患者。
结果
所有纳入患者中，48.6%为成年人，72.1%有阳性发现；其中，36.7%的患者接受观察治疗，27.3%接受手术干预。
结论
全身计算机断层扫描是一种有用的工具，可用于检测急诊科就诊的患者中是否存在严重的创伤性损伤。此外，它可以帮助医生确定这些患者的处理方式。应该制定一套明确的标准来确定在初始复苏期间哪些创伤患者需要进行 WBCT 成像。
Zotero 插件