邀请朋友评估潜在的 III 级胰腺损伤：它们真的是隐匿性的，还是只是在 CT 上漏诊了？
Inviting a friend to evaluate potential grade III pancreatic injuries: Are they truly occult, or simply missed on CT?
机构信息
From the Department of Surgery, University of Calgary, Calgary, Alta., Canada (Ball, Clements, Kirkpatrick); the Department of Surgery, Western University, London, Ont., Canada (Vogt); the Scripps Memorial Hospital, La Jolla, California, USA (Biffl); and the Department of Surgery, University of British Columbia, Vancouver, BC, Canada (Hameed).
出版信息
Can J Surg. 2021 Dec 21;64(6):E677-E679. doi: 10.1503/cjs.001421. Print 2021 Nov-Dec.
Traumatic inuries to the pancreas are notoriously challenging to diagnose and treat. Detecting a main pancreatic ductal injury can be particularly difficult on screening computed tomography (CT). Twenty-four blinded faculty clinicians from 4 differing specialties and 6 institutions reviewed 9 video CT cases of potential pancreatic ductal injuries. Clinician performance in detection of confirmed grade III pancreatic injuries varied widely among specialties. This heterogeneity confirms the critical need for multidisciplinary care and image interpretation for even "minor" (i.e., not grade IV or V) potential pancreatic injuries to optimize outcomes for injured patients. The ubiquitous availability of electronic devices allows real-time collegial second opinions to be easily available.
胰腺创伤的诊断和治疗极具挑战性，这是众所周知的。在筛查性计算机断层扫描（CT）上，检测主胰管损伤尤其困难。来自 4 个不同专业和 6 家机构的 24 名盲法临床医生对 9 例可能存在胰管损伤的 CT 视频病例进行了评估。在检测确诊的 III 级胰腺损伤方面，各专业医生的表现差异很大。这种异质性证实了即使是“轻微”（即不是 IV 级或 V 级）的潜在胰腺损伤，也需要多学科护理和图像解读，以优化受伤患者的结局，这是至关重要的。无处不在的电子设备使得实时的同事间第二意见变得非常容易获得。
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