腹部脏器钝伤的CT诊断(附30例分析)

CT Diagnosis of Blunt Abdominal Visceral Traumas (Analysis of 30 Cases)

目的：探讨CT在腹部脏器钝伤中的诊断价值及其表现。材料和方法：应用CT扫描对30例腹部脏器钝伤患者在损伤后2小时至14天内进行了检查。结果：CT扫描发现肝、脾、肾、十二指肠及多脏器损伤各为3、18、5、1及3例。扫描结果可清楚地显示脏器损伤及出血的程度和范围，而且亦能同时检出后腹膜腔及骨路等损伤。结论：CT能迅速、难确、有效地检出腹部脏器的损伤，为治疗的选择提供重要依据。

Purpese: To study the dtagnostic value and finding of CT scan in blunt abdominal visceral traumas. Materials andMethods: 30 cases of blunt abdominal visceral tranmas were scanned by CT 2 hours to 14 dape after injury. Results: In 30 cases,3、18、 5、1 and 3 cases were liver, spleen, kidney, duodenum and multiple visceral traumas respectively according to CT scanwhich could clearly show degrees, scopes in viscera injuty and bleeding, and also find retroperitoneal cavities, skeleton, etc, simul-taneously. Conclusion: CT scan can diagnose blunt abdominal visceral traumas quickly, accurately and effectiely, and be importantselecting therapeutic strategics.