Yu Hyo Hyeon, Won Yoo Dong, Lee Su Lim, Ku Young Mi, Song Sun Wha
Taehan Yongsang Uihakhoe Chi. 2020 Nov;81(6):1348-1363. doi: 10.3348/jksr.2020.0033. Epub 2020 Nov 30.
The newly revised 2018 Organ Injury Scale (OIS) has a similar format to the previous American Association for Surgery and Trauma (AAST) Emergency General Surgery Grading System, dividing the criteria for grading solid organ damage into three groups; imaging, operation, and pathology. The most significant alteration in the OIS system 2018 revision is the incorporation of multidetector CT (MDCT) findings of vascular injury including pseudoaneurysm and arteriovenous fistula. Similar to the previous OIS, the highest of the three criteria is assigned the final grade. In addition, if multiple grade I or II injuries are present, one grade is advanced for multiple injuries up to grade III. This pictorial essay demonstrates the MDCT findings of solid organ injury grades based on the 2018 OIS system.
最新修订的2018年器官损伤分级(OIS)与先前的美国外科和创伤协会(AAST)急诊普通外科分级系统格式相似,将实体器官损伤的分级标准分为三组:影像学、手术和病理学。2018年OIS系统修订中最显著的变化是纳入了包括假性动脉瘤和动静脉瘘在内的血管损伤的多排螺旋CT(MDCT)表现。与先前的OIS类似,三个标准中最高的标准被赋予最终分级。此外,如果存在多个I级或II级损伤,则将多个损伤的分级提升一级,最高至III级。这篇图文并茂的文章展示了基于2018年OIS系统的实体器官损伤分级的MDCT表现。