Nghiem H V, Jeffrey R B, Mindelzun R E
Department of Radiology, Stanford University Medical Center, CA 94305-5105.
AJR Am J Roentgenol. 1993 Jan;160(1):53-8. doi: 10.2214/ajr.160.1.8416646.
The high mortality and morbidity rates associated with traumatic rupture of the hollow viscera have been attributed to the clinical difficulty in establishing an early diagnosis. CT has been shown to be accurate for detecting bowel and mesenteric injuries caused by blunt trauma and may be useful in predicting the need for either surgical repair or conservative management. However, many major gastrointestinal injuries have subtle CT findings. In this pictorial essay, we illustrate the broad spectrum of gastrointestinal abnormalities that can be shown by CT in patients with blunt abdominal trauma.
与中空脏器创伤性破裂相关的高死亡率和发病率归因于早期诊断的临床困难。CT已被证明在检测钝性创伤引起的肠和肠系膜损伤方面准确,并且可能有助于预测手术修复或保守治疗的必要性。然而,许多主要的胃肠道损伤在CT上表现细微。在这篇影像文章中,我们展示了CT在钝性腹部创伤患者中可显示的广泛胃肠道异常情况。