摘要
ObjectiveTo 在由计算断层摄影术( CT )与钝腹的损伤介绍的病人决定肾的损害的频率 .MethodsDuring 6   ；从2011年1月1日的月时期到2011年6月30日， 82 紧急情况 CT 考试在主要腹的损伤的背景被执行并且回顾地为 7 个病人全部的肾上腺 injuries.ResultsA 考察了作为有肾上腺损害( 6 男性和 1 女性)被识别。二个病人孤立肾上腺损害。在有 nonisolated 损害的另外的 5 个病人，对肝(1 个案例) 的损害，怒气(1 个案例) ， retroperitoneum (2 个案例) 和肠系膜(4 个案例) 被识别。有肝损害( 29 %)的外套 24 案例，有脾的损害(13%)的 11 个案例，有 mesenteric 损害(65%)的 54 个案例，有 retroperitoneal 损害的 14 个盒子(17%)和有肾的损害的 9 个盒子是 identified.ConclusionAdrenal 腺损害从在主要腹的损伤以后经历了 CT 的 82 个病人的一个总数在 7 个病人(11.7%)被识别。大多数这些盒子是 nonisolated 损害。我们的经验比由另外的报告建议显示肾的损害源于损伤是更普通的。在肾的损害的发生的上升能被归因于损害的模式。
Objective： To determine the frequency of adrenal injuries in patients presenting with blunt abdomi- nal trauma by computed tomography （CT）. Methods： During a 6 month period from January 1, 2011 to June 30, 2011, 82 emergency CT examinations were performed in the setting of major abdominal trauma and ret- rospectively reviewed for adrenal gland injuries. Results： A total of 7 patients were identified as having adrenal gland injuries （6 males and 1 female）. Two patients had isolated adrenal gland injuries. In the other 5 patients with nonisolated injuries, injuries to the liver （1 case）, spleen （1 case）, retroperitoneum （2 cases） and mesentery （4 cases） were identified. Overall 24 cases with liver injuries （29 %）, 11cases with splenic injuries （13%）, 54 cases with mesenteric injuries （65%）, 14 cases （17%） with retroperitoneal injuries and 9 cases with renal injuries were identified. Conclusion： Adrenal gland injury is identified in 7 patients （11.7%） out of a total of 82 patients who underwent CT after major abdominal trauma. Most of these cases were nonisolated injuries. Our experience indicates that adrenal injury resulting from trauma is more common than suggested by other reports. The rise in incidence of adrenal injuries could be attributed to the mode of injury.
