Department of Radiology, McMaster University, St Joseph's Healthcare Hamilton, Hamilton, ON, Canada L8N 4A6.
Division of Diagnostic Radiology, Washington University, Saint Louis, MO 63110, USA.
Diagn Interv Imaging. 2021 Jul-Aug;102(7-8):471-477. doi: 10.1016/j.diii.2021.04.003. Epub 2021 Apr 28.
Penetrating trauma is an important cause of morbidity and mortality. With the possibility of conservative management for hemodynamically stable trauma patient, computed tomography (CT) has become an important tool in diagnosis and management of penetrating trauma. There have been multiple studies examining the utility and lack of perceived benefit of using enteric contrast material in the initial CT evaluation. We provide a narrative review of the surgical and radiological literature, offer our own protocol for how to approach the imaging of patients with suspected bowel injury following penetrating traumatic injury and discuss the potential of using enteric contrast material.
穿透性创伤是发病率和死亡率的一个重要原因。对于血流动力学稳定的创伤患者，可能采用保守治疗，因此计算机断层扫描（CT）已成为诊断和治疗穿透性创伤的重要工具。已经有多项研究检查了在初始 CT 评估中使用肠内对比材料的效用和缺乏感知益处。我们对外科和放射学文献进行了叙述性综述，提供了我们自己的方案，用于探讨如何处理疑似穿透性创伤后肠损伤患者的影像学检查，并讨论使用肠内对比材料的可能性。
