医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2015年
15期
1977-1979
,共3页
腹部损伤%实质性脏器%CT%诊治
腹部損傷%實質性髒器%CT%診治
복부손상%실질성장기%CT%진치
Abdominal injury%Substantive organs%CT%Make a diagnosis and give treatment
目的：：探讨腹部实质性脏器急性闭合性外伤 CT 表现的特点及其在临床诊治中的价值。方法：对2008年1月—2013年12月就诊的41例腹部外伤患者的 CT 表现和临床资料进行回顾性分析。结果：本组19例经手术证实,22例经保守治疗后复查证实：脾挫裂伤20例,脾内血肿4例,脾包膜下血肿2例；肾挫裂伤4例,肾包膜下血肿5例；肝挫裂伤4例,胰挫裂伤6例,复合伤4例,2例为脾胰复合伤,2例为脾肾复合伤。结论：CT 对腹部实质性脏器损伤的程度和范围可作出较准确的判断,从而指导临床制定合理的治疗方案。
目的：：探討腹部實質性髒器急性閉閤性外傷 CT 錶現的特點及其在臨床診治中的價值。方法：對2008年1月—2013年12月就診的41例腹部外傷患者的 CT 錶現和臨床資料進行迴顧性分析。結果：本組19例經手術證實,22例經保守治療後複查證實：脾挫裂傷20例,脾內血腫4例,脾包膜下血腫2例；腎挫裂傷4例,腎包膜下血腫5例；肝挫裂傷4例,胰挫裂傷6例,複閤傷4例,2例為脾胰複閤傷,2例為脾腎複閤傷。結論：CT 對腹部實質性髒器損傷的程度和範圍可作齣較準確的判斷,從而指導臨床製定閤理的治療方案。
목적：：탐토복부실질성장기급성폐합성외상 CT 표현적특점급기재림상진치중적개치。방법：대2008년1월—2013년12월취진적41례복부외상환자적 CT 표현화림상자료진행회고성분석。결과：본조19례경수술증실,22례경보수치료후복사증실：비좌렬상20례,비내혈종4례,비포막하혈종2례；신좌렬상4례,신포막하혈종5례；간좌렬상4례,이좌렬상6례,복합상4례,2례위비이복합상,2례위비신복합상。결론：CT 대복부실질성장기손상적정도화범위가작출교준학적판단,종이지도림상제정합리적치료방안。
Objective:To investigate the CT manifestations of solid visceral acute closed abdominal trauma and its value in clinical diagnosis and treatment.Methods:41 patients with abdominal trauma,CT manifestations and clinical data were retrospectively analyzed during January 2008 and December 2013 .Results:Hemoperitoneum is another important sign of the diagnosis of abdominal visceral injury 1 9 cases confirmed by surgery,22 cases were confirmed by review af-ter conservative treatment,14 cases spleen contusion,spleen hematoma in 4 cases,splenic subcapsular hematoma in 2 cases.Renal contusion in 4 cases,4 cases were renal subcapsular hematoma;Hepatic contusion in 3 cases,2 cases of pancreatic contusion,compound injury in 4 cases,2 cases of spleen and pancreas compound injury,2 cases of spleen and kidney compound injury.Conclusion:CT for the degree and range of abdominal visceral injury can make more accurate judgment,so as to guide clinical setting reasonable treatment plan.
