Schmidt U, Maull K I, Gould H, Frame S
Unfallchirurgische Klinik, Medizinischen Hochschule Hannover.
Unfallchirurg. 1994 Jan;97(1):54-6.
Intestinal injury is increasing in frequency among persons sustaining blunt abdominal trauma, and the consequences of delayed recognition of intestinal injuries are serious. This critical retrospective analysis evaluates the role for CT in the diagnosis of blunt abdominal trauma, including hollow visceral injury. CT scan, when used in conjunction with a history emphasizing the mechanism of injury and a careful physical examination, is highly accurate in detecting small bowel injuries. CT is less helpful in distinguishing between different types of small bowel injury. Intestinal wall thickening with low-density fluid in the abdominal cavity strongly suggests rupture. Until further experience is gained with CT, free intraperitoneal fluid in the absence of solid organ injury should be regarded as an indication for exploratory laparotomy.
在遭受钝性腹部创伤的人群中，肠道损伤的发生率正在上升，而延迟识别肠道损伤的后果很严重。这项重要的回顾性分析评估了CT在钝性腹部创伤诊断中的作用，包括中空脏器损伤。当CT扫描与强调损伤机制的病史及仔细的体格检查相结合时，在检测小肠损伤方面具有很高的准确性。CT在区分不同类型的小肠损伤方面帮助较小。肠壁增厚并伴有腹腔内低密度液体强烈提示破裂。在获得更多关于CT的经验之前，在没有实质性器官损伤的情况下，腹腔内游离液体应被视为剖腹探查的指征。
