Federle M P
Invest Radiol. 1981 Jul-Aug;16(4):260-8. doi: 10.1097/00004424-198107000-00003.
The selection of patients and technique for computed tomographic (CT) scanning of abdominal trauma are presented. CT is capable of detecting a wide variety of abdominal and retroperitoneal traumatic lesions and appears to be highly sensitive and specific. To a large extent it has displaced other modalities such as radionuclide scanning, ultrasonography, angiography, and peritoneal lavage in the comprehensive acute evaluation of the patient with abdominal trauma. Effects on patient management are evident in decreased incidence of unnecessary exploratory laparotomy, shorter hospital stays for observation, and earlier and more specific surgical intervention in appropriate cases. In light of these considerations, CT has proven very cost-effective.
本文介绍了腹部创伤计算机断层扫描（CT）的患者选择和技术。CT能够检测多种腹部和腹膜后创伤性病变，似乎具有高度的敏感性和特异性。在对腹部创伤患者进行全面急性评估时，它在很大程度上已取代了其他检查方法，如放射性核素扫描、超声检查、血管造影和腹腔灌洗。对患者治疗的影响很明显，不必要的剖腹探查发生率降低，观察期住院时间缩短，在适当情况下能更早、更有针对性地进行手术干预。鉴于这些因素，CT已被证明具有很高的成本效益。
