急性脾损伤的CT表现

The CT findings of Acute Splenic Injury

目的：明确急性肿损伤的CT表现特点，提高定位、定性、定量诊断的正确性。材料与方法：总结分析30例急性脾损伤的CT表现与手术所见对照研究。结果：脾包膜下血肿26例，占86．7％；腹腔积血28例，占93．3％；脾实质内血肿6例，占20％；单发性牌撕裂伤20例，占66．7％；多发性脾撕裂伤6例，占30％；复合性脏器损伤5例，占16．7％。结论：CT能确定脾损伤的存在及其损伤范围，具有非常高的敏感性和特异性，且能正确又迅速地估计所有内脏及附近骨骼情况和出血量的多少，为外科医生选择治疗方案提供重要依据。

This article introduces the CT findings acute splenic injury. Materials and methods:Analysing the CT of 30 cases of acute splenic injury. Results:The case of subperisplenitic hematoma is 26(86.2% ), the case of splenic parenchyma hematoma 6(20%),single torn injury of Splee 20(66.2% ),freqentlyoccuring torn injury 6(20% ),complex injury 5(16.7% ). Conclusion:We migth fix the scope ofsplenic injury,and rapidly and correctly estimate how much the volume of haemorrhage is,which helps tosurgeon to Select the programme of treatment.