Häuser H, Bohndorf K
Klinik für diagnostische Radiologie und Neuroradiologie, Zentralklinikum Augsburg.
Radiologe. 1998 Aug;38(8):637-44. doi: 10.1007/s001170050404.
The management of multiple trauma patients has improved recently. Surgeons' education, preclinical rescue structures, initial clinical survey and therapeutic strategies, as well as diagnostic imaging, have progressed. Plain film imaging is increasingly being abandoned in favor of CT. Fast imaging techniques (spiral CT) have led to the inclusion of CT in the primary survey. To minimize the risk to the patient during prolonged diagnostic time, algorithms have to be defined concerning structures, emergency room equipment and quality. Basics, state of the art and suggestions concerning management of multiple trauma patients are presented and discussed from the radiologist's point of view.
近年来，多发伤患者的管理有了改善。外科医生的教育、临床前救援结构、初始临床检查及治疗策略以及诊断成像均取得了进展。普通X线成像正越来越多地被CT所取代。快速成像技术（螺旋CT）已使得CT被纳入初次检查中。为了在延长的诊断时间内将对患者的风险降至最低，必须针对检查结构、急诊室设备及质量制定相关算法。本文从放射科医生的角度介绍并讨论了多发伤患者管理的基础知识、当前技术水平及相关建议。
