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[螺旋CT在多发伤患者初步诊断及强化治疗中的应用]

[Spiral CT of the thorax in primary diagnosis and intensive treatment of polytrauma patients].

作者信息

Marzi I, Risse N, Wiercinski A, Rose S, Mutschler W

机构信息

Abteilung für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätskliniken des Saarlandes, Homburg/Saar.

出版信息

Langenbecks Arch Chir Suppl Kongressbd. 1996;113:928-30.

PMID:9102028
Abstract

The performance of a rapid spiral chest CT scan during primary diagnosis and intensive care leads, in a high percentage of cases, to clinically relevant diagnoses. In particular, occult ventral (tension-) pneumothoraces and lung contusions have been found in one third of polytraumatized patients both initially and during the sequential course. Additional insertion of chest tubes has been observed to be the major consequence.

摘要

在初次诊断和重症监护期间进行快速螺旋胸部CT扫描,在很大比例的病例中能得出具有临床意义的诊断结果。特别是,在三分之一的多发伤患者中,最初及后续病程中均发现了隐匿性腹侧(张力性)气胸和肺挫伤。观察到的主要后果是需要额外插入胸管。

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[Spiral CT of the thorax in primary diagnosis and intensive treatment of polytrauma patients].[螺旋CT在多发伤患者初步诊断及强化治疗中的应用]
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:928-30.
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[Can diagnosis and subsequent trauma management of the multiple trauma patient with blunt thoracic trauma be improved by early computerized tomography of the thorax?].早期胸部计算机断层扫描能否改善钝性胸部创伤多发伤患者的诊断及后续创伤处理?
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A novel CT volume index score correlates with outcomes in polytrauma patients with pulmonary contusion.一种新的 CT 体积指数评分与伴有肺挫伤的多发伤患者的结局相关。
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引用本文的文献

1
[Diagnosis and immediate therapeutic management of chest trauma. A systematic review of the literature].[胸部创伤的诊断与即时治疗管理。文献系统综述]
Unfallchirurg. 2004 Oct;107(10):881-91. doi: 10.1007/s00113-004-0837-4.