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本文引用的文献

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Implementation of portable head CT imaging in patients with severe acute brain injury in a French ICU: a prospective before-after design pilot study.在法国 ICU 中对严重急性脑损伤患者实施便携式头部 CT 成像:一项前瞻性前后设计的试点研究。
Sci Rep. 2022 Dec 2;12(1):20846. doi: 10.1038/s41598-022-25263-6.
2
Incidence of Adverse Events Associated With the In-Hospital Transport of Critically Ill Patients.危重症患者院内转运相关不良事件的发生率
Crit Care Explor. 2022 Mar 4;4(3):e0657. doi: 10.1097/CCE.0000000000000657. eCollection 2022 Mar.
3
Use of a portable computed tomography scanner for chest imaging of COVID-19 patients in the urgent care at a tertiary cancer center.在一家三级癌症中心的紧急护理中,使用便携式计算机断层扫描扫描仪对新冠肺炎患者进行胸部成像。
Emerg Radiol. 2020 Dec;27(6):597-600. doi: 10.1007/s10140-020-01801-5. Epub 2020 Jun 9.
4
A Portable CT Scanner in the Pediatric Intensive Care Unit Decreases Transfer-Associated Adverse Events and Staff Disruption.儿科重症监护病房中的便携式CT扫描仪可减少与转运相关的不良事件及对工作人员的干扰。
Eur J Trauma Emerg Surg. 2010 Aug;36(4):346-52. doi: 10.1007/s00068-009-9127-8. Epub 2009 Nov 2.
5
Portable head computed tomography in the diagnosis of cerebral fat embolism secondary to cardiac surgery.便携式头颅计算机断层扫描在心脏手术后脑脂肪栓塞诊断中的应用
Neurohospitalist. 2012 Oct;2(4):154-5. doi: 10.1177/1941874412447632.
6
Head computed tomography scanning during pediatric neurocritical care: diagnostic yield and the utility of portable studies.儿科神经危重症监护期间的头部计算机断层扫描:诊断率和便携式研究的效用。
Neurocrit Care. 2012 Apr;16(2):251-7. doi: 10.1007/s12028-011-9627-3.
7
Portable head computed tomography scanner--technology and applications: experience with 3421 scans.便携式头部计算机断层扫描(CT)扫描仪——技术与应用:3421 次扫描的经验。
J Neuroimaging. 2012 Oct;22(4):408-15. doi: 10.1111/j.1552-6569.2011.00621.x. Epub 2011 Jun 23.
8
Portable head CT scan and its effect on intracranial pressure, cerebral perfusion pressure, and brain oxygen.便携式头部 CT 扫描及其对颅内压、脑灌注压和脑氧的影响。
J Neurosurg. 2011 May;114(5):1479-84. doi: 10.3171/2010.11.JNS091148. Epub 2010 Dec 17.
9
The use of a portable head CT scanner in the intensive care unit.在重症监护病房使用便携式头部 CT 扫描仪。
J Neurosci Nurs. 2010 Apr;42(2):109-16. doi: 10.1097/jnn.0b013e3181ce5c5b.
10
Patient transport and brain oxygen in comatose patients.患者转运与昏迷患者脑氧合。
Neurosurgery. 2010 May;66(5):925-31; discussion 931-2. doi: 10.1227/01.NEU.0000368543.59446.A4.

创伤便携式头部计算机断层扫描协议

Portable Head Computed Tomography Protocol for Trauma.

作者信息

Quinones Christian, Bolufer Alexander, Hewitt Cory, Tuli Sagun

机构信息

HCA Florida Ocala Hospital, Ocala, Florida.

University of Central Florida College of Medicine, Orlando, Florida.

出版信息

HCA Healthc J Med. 2025 Apr 1;6(2):113-118. doi: 10.36518/2689-0216.1858. eCollection 2025.

DOI:10.36518/2689-0216.1858
PMID:40386754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12080855/
Abstract

Description The use of portable computed tomography (CT) scanners has been shown to reduce risks associated with intrahospital transport and to expedite imaging in critically ill patients. While their use is established in intensive care units, their utility on intraoperative trauma patients remains underexplored. This paper reviews existing literature on portable CT use, defines appropriate clinical indications, outlines contraindications, and identifies quality metrics and implementation challenges. It also presents a proposed protocol for integrating portable head CT imaging into trauma workflows, focusing on early identification of intracranial or spinal injuries in the operating room. The development and analysis of standardized protocols may guide future adoption of portable CT technology in trauma settings.

摘要

描述 便携式计算机断层扫描(CT)扫描仪的使用已被证明可降低与院内转运相关的风险,并加快危重症患者的成像速度。虽然其在重症监护病房的使用已得到确立,但其在术中创伤患者中的效用仍未得到充分探索。本文回顾了关于便携式CT使用的现有文献,确定了合适的临床适应症,概述了禁忌症,并确定了质量指标和实施挑战。它还提出了一个将便携式头部CT成像整合到创伤工作流程中的拟议方案,重点是在手术室中早期识别颅内或脊柱损伤。标准化方案的制定和分析可能会指导便携式CT技术在创伤环境中的未来应用。