在移除门后立即进行血管成像,不会增加血管的风险
Eric H Mace1, Amelia W Maiga2, Robel T Beyene2
1Vanderbilt University Medical Center, Department of General Surgery, Nashville, Tennessee, Medical Center North, D-5203, Suite CCC-4312, 1161 21st Avenue South, Nashville, TN 37232-2730, USA.
Injury
|August 10, 2023
概括
在创伤患者中使用带可以导致血管,导致CT血管学上的错误阳性. 研究发现,围时间和成像准确性之间没有联系,支持及时的创伤护理.
科学领域:
- 创伤外科 手术 创伤外科
- 血管成像 血管成像
- 紧急医疗 紧急医疗
背景情况:
- 对于四肢血管损伤,预先使用医院护套是标准的.
- 轮相关的血管可能会导致CT血管造影 (CTA) 上的错误阳性.
- 这种现象可能会使真正的动脉损伤的评估变得复杂.
研究的目的:
- 调查围护应用时间,CTA成像时间和错误的CTA阳性结果之间的相关性.
- 为了确定CTA上的血管是否受带移除间隔或持续时间的影响.
- 为了告知创伤患者管理协议,关于使用带后的成像.
主要方法:
- 对251名创伤患者进行了回顾性队列研究,这些患者接受了医院前护 (2019-2021年).
- 分析了带的持续时间,从移除到CTA (CTA间隔) 的时间,以及CTA发现.
- 多变量逻辑回归用于评估与虚假阳性CTA损伤的关联.
主要成果:
- 在接受CTA的127名患者中,57名 (45%) 患有虚假阳性动脉损伤.
- 无论是CTA间隔还是门的持续时间都与错误的阳性CTA无关.
- 女性性别与假阳性相关 (OR 2.91);血管在40%的假阳性报告中被引用.
结论:
- 动脉血管是常见的CTA后带使用,但不应该改变创伤管理.
- 轮的持续时间和CTA的时间不会影响成像准确性或血管的可能性.
- 这些发现支持加快成像和护理严重四肢创伤患者.
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