地平面下降:计算机断层扫描的发现和按年龄组的临床结果
Selcuk Parlak1, Esra Çıvgın1, Muhammed Said Beşler1
1Department of Radiology, Ankara City Hospital, Ankara, Türkiye.
概括
地平面落 (GLF) 造成严重伤害,特别是在老年人中,导致住院治疗和死亡率增加. 正常的体检可能有助于排除对有意识的患者进行计算机断层扫描 (CT) 的需要.
科学领域:
- 创伤外科 手术 创伤外科
- 老年医学 老年医学
- 紧急医疗 紧急医疗
背景情况:
- 地平面跌倒 (GLF) 是创伤中心受伤的常见原因.
- 了解受伤模式和年龄的影响对于有效的患者管理至关重要.
研究的目的:
- 为了确定与地面落相关的受伤模式.
- 调查患者年龄对受伤严重程度和结果的影响.
主要方法:
- 在GLFs之后出现的4712名患者的回顾性分析.
- 详细分析了1214名接受计算机断层扫描 (CT) 的患者的数据.
- 患者被分为以下年龄组:<65岁和≥65岁.
主要成果:
- 骨折是最常见的损伤类型;创伤性内出血发生在2.60%的患者中.
- 老年人 (≥65岁) 的住院率较高,所有记录的死亡率都较高.
- 身体检查显示,胸部损伤的负预测值为95.80%.
结论:
- 地平面下降不成比例地影响老年人,导致发病率和死亡率增加.
- 在有意识,合作的患者中进行正常的体检可能会避免需要像全身CT这样的广泛成像.
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