50例上腹部创伤的CT诊断

CT Diagnosis of 50 Cases of Epigastrium Wound

目的:探讨上腹部创伤CT表现及CT检查的临床价值。方法:选取我院2007年4月到2012年9月收治的50例上腹部创伤患者CT和临床资料进行回顾性分析,急诊平扫,使用西门子双排螺旋CT机。结果:550例上腹部创伤中CT检查出15例肝损伤:3例肝内血肿,5例肝包膜下出血,7例肝破裂。脾损伤25例:9例腹腔积液,15例脾破裂,其中合并胰尾部断裂1例。10例肾损伤:3例肾内血肿,5例包膜下出血,2例为肠系膜撕裂伤。结论:CT检查,能清楚地显示每个脏器受损情况,并能根据CT影像更直观显示受损脏器及相邻脏器的情况,结合临床表现作出正确的诊断,有利于临床治疗。

Objective： To explore the CT findings of epigastrium wound and the clinical value of CT examination. Methods： Trauma CT and clinical data of 50 patients who were treated epigastrium wound in our hospital from April 2007 to September 2012 were retrospectively analyzed,emergency scan, use Siemens-row spiral CT machine. Results： CT damage： 3 cases of intrahepatic hematoma, Hepatorrhexis. 25 cases of splenic injury： inspects 15 cases from 550 cases epigastrium wound liver 5 cases of hepatic subcapsular hemorrhage, 7 cases of 9 cases of seroperitoneum, 15 cases of splenic rupture, include 1 case of combined pancreatic tail fracture. 10 cases of renal injury： 3 cases of renal hematoma, 5 cases of subcapsular hemorrhage. 2 cases of mesenteric laceration. Conclusion： CT Inspection, can demonstrate each internal organs damage situation clearly, and can act according to the CT phantom visual display damage internal organs and the neighboring internal organs situation, unifies the clinical manifestation to make the correct diagnosis, is advantageous in the clinical treatment.