四川大学学报（医学版）2011，Vol.42Issue(5)：678-680,711,4.
多层螺旋CT—站式检查在胸腹部复合地震伤中的应用
One-stop Examination of Thoracic and Abdominal Injuries in Earthquake Victims Using Multi-slice CT
摘要
Abstract
Objective To assess the clinical value of multi-slice CT in one-stop examination of thoracic and abdominal injuries in earthquake victims. Methods DR and multi-slice CT examination were performed in 162 earthquake victims with thoracic and abdominal injuries. Optimal processes and preferred modalities were identified through comparisons of examination time, radiation dose and diagnostic value between the two methods. Results The multi-slice CT took (5±2) min, shorter than that of DR (10±3) min (P<0. 001). The radiation dose of multi-slice CT (6. 4±1. 7) mSv was higher than that of DR (2. 4±1. 3) mSv (P<0.001). Both methods were able to detect bone fracture (clavicle, rib, sternum, thoracic spine, lumbar and pelvic). However, soft-tissue organ trauma, such as liver, pancreas and spleen could not be detected by DR. Multi-slice CT had significantly higher sensitivity (98%) and specificity (97%) in detecting thoracic and abdominal injuries than DR (74%, 67%). Conclusion Multi-slice CT one-stop examination is a preferred method for detecting combined injuries in emergency events, as it can save examination time and obtain reliable diagnostic information.关键词
多层螺旋CT/胸部外伤/腹部外伤/地震Key words
Multi-slice CT/Thoracic trauma/Abdominal trauma/ Earthquake引用本文复制引用
李真林,陈宪,帅桃,袁元..多层螺旋CT—站式检查在胸腹部复合地震伤中的应用[J].四川大学学报（医学版）,2011,42(5):678-680,711,4.基金项目
四川省科技支撑计划项目(2010F0017)资助 （2010F0017）
