Federle M P, Goldberg H I, Kaiser J A, Moss A A, Jeffrey R B, Mall J C
Radiology. 1981 Mar;138(3):637-44. doi: 10.1148/radiology.138.3.6450962.
Computed tomography (CT) was used in the evaluation of 100 patients suffering abdominal trauma. The type of trauma was blunt in 78 patients, penetrating in eight, and iatrogenic in 14. Forty per cent of cases had normal CT scans, while 60% showed substantial abdominal or retroperitoneal injuries. Surgery, clinical follow-up, and repeated radiologic examinations confirmed the accuracy of CT, and there were no cases in which medical or surgical management was inappropriately guided by CT. A wide variety of injuries was detected, including 19 splenic, eight hepatic, six pancreatic, 13 renal, 13 retroperitoneal or abdominal wall, and one intraperitoneal. CT has major advantages over plain radiography, radionuclide imaging, and angiography in assessment of trauma-induced injuries.
计算机断层扫描（CT）用于评估100例腹部创伤患者。创伤类型为钝性伤78例，穿透伤8例，医源性损伤14例。40%的病例CT扫描结果正常，而60%显示有严重的腹部或腹膜后损伤。手术、临床随访及重复影像学检查证实了CT的准确性，且没有因CT而导致医疗或手术处理不当的病例。检测到多种损伤，包括脾损伤19例、肝损伤8例、胰腺损伤6例、肾损伤13例、腹膜后或腹壁损伤13例以及腹腔内损伤1例。在评估创伤性损伤方面，CT比普通X线摄影、放射性核素成像及血管造影具有显著优势。
