[1]张连阳,姚元章,王韬,等.多发伤早期救治中64层螺旋CT的应用[J].陆军军医大学学报(原第三军医大学学报),2008,30(14):1374-1377.
 ZHANG Lian-yang,YAO Yuan-zhang,WANG Tao,et al.Application of 64-slice helical CT in early treatment of multiple trauma: report of 284 cases[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(14):1374-1377.
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多发伤早期救治中64层螺旋CT的应用(/HTML )
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陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
30卷
期数:
2008年第14期
页码:
1374-1377
栏目:
论著
出版日期:
2008-07-30

文章信息/Info

Title:
Application of 64-slice helical CT in early treatment of multiple trauma: report of 284 cases
作者:
张连阳姚元章王韬刘朝普李英才张宇黄显凯何奇元张伟国王毅陈蓉
第三军医大学大坪医院野战外科研究所创伤外科,全军战创伤中心
Author(s):
ZHANG Lian-yang YAO Yuan-zhang WANG Tao LIU Zhao-pu LI Ying-cai ZHANG Yu HUANG Xian-kai HE Qi-yuan ZHANG Wei-guo WANG Yi CHEN Rong
Trauma Center of PLA, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing 400042, China
关键词:
多发伤64层螺旋CT早期救治
Keywords:
multiple trauma 64-slice helical computed tomography early treatment
分类号:
R64;R814.42
文献标志码:
A
摘要:
目的  探讨64层螺旋CT在多发伤早期救治中的作用。 方法  回顾性分析2006年1月至2007年10月间救治的284例多发伤,男性232例,女性52 例;平均年龄34.5岁。头颈伤54例,面部伤35例,胸部伤125例,腹部伤112例,骨盆及四肢伤104例,体表伤254例。合并休克103例。ISS 10~54分,平均16.3分。37例因伤情过重直接送入手术室,247例到院后3 h内64层螺旋CT检查。 结果  螺旋CT检查时间8.4 min。21例初检时有漏诊。急诊手术154例,其中启动绿色通道74例,非手术治疗130例。治愈272例(95.8%);死亡12例(4.2%)。 结论  多发伤早期救治中应用64层螺旋CT有助于缩短院内术前时间,提高早期确诊率和救治水平。
Abstract:
Objective    To investigate the role of 64-slice helical CT in treatment of multiple trauma.     Methods    A retrospective study was carried out on 284 cases of multiple trauma including 232 males and 52 females (with average age of 34.5 years) admitted from January 2006 to October 2007 in our hospital. Injury sites and injury frequency were distributed at head and neck in 54 cases/times, face in 35, thoracic region in 125, abdomen in 112, pelvis and extremities in 104 and body surface in 254. Of all, 103 cases/times were combined with shock. Their traumatic condition evaluated by injury severity score (ISS) was 10 to 54 points, mean 16.3 points. Of all, 37 cases were sent for operation directly because of severe injury, the other 247 cases were examined with 64-slice helical CT within 3 h after admission.     Results    Mean time of 64-slice helical CT scanning was 8.4 min. Misdiagnosis happened in 21 cases. Emergency operation was done in 154 cases, of which 74 cases received operation via free channel. A total of 130 cases were treated non-surgically. Of all, 272 cases (95.8%) survived but 12 (4.2%) died.     Conclusion    Application of 64-slice helical CT in early treatment of multiple trauma is helpful for shortening preoperative time and improving early definite diagnosis and management.

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更新日期/Last Update: 2008-07-21