相关实验视频

Updated: Jul 6, 2025

Advanced Diffusion Imaging in The Hippocampus of Rats with Mild Traumatic Brain Injury

Advanced Diffusion Imaging in The Hippocampus of Rats with Mild Traumatic Brain Injury

Published on: August 14, 2019

在初步创伤评估后,通过全身计算机断层扫描扫描进行创伤患者的延迟诊断损伤

D Kok¹, S Oud¹, G F Giannakópoulos¹

¹Trauma Unit, Department of Surgery, Amsterdam University Medical Centers, Location AMC, Meibergdreef 9, 1105, AZ Amsterdam, the Netherlands.

|January 3, 2024

概括

延迟诊断的伤害发生在13.9%的创伤患者中,即使是全身计算机断层扫描 (TBCT) 扫描. 直接进入重症监护室 (ICU) 和较高的伤害严重性得分 (ISS) 与这些延迟诊断有关.

科学领域:

创伤护理的护理人员.
诊断成像诊断成像的使用
医学研究医学研究

背景情况:

先进的创伤生命支持 (ATLS) 准则和当前的协议并不总是保证创伤患者的所有伤害的完整诊断.
未被诊断的伤害可能导致治疗延迟,并可能导致更糟糕的结果.

研究的目的:

为了量化在接受全身计算机断层扫描 (TBCT) 的创伤患者中延迟诊断伤害的发生率.
为了确定最常被诊断迟到的伤害类型.
为了确定与延迟诊断相关的因素.

主要方法:

在一级创伤中心对697名创伤患者进行了回顾性队列研究.
延迟诊断伤害的定义:在创伤期间持续存在,在ICU/病房入院时或在初步评估/手术期间未被发现.
确定需要进一步医疗治疗的临床意义上的延迟诊断.

主要成果:

13.9%的患者 (97/697) 患有延迟诊断的损伤,其中81.4%具有临床意义.
近一半 (49.5%) 的延迟伤害是在TBCT领域.
与延迟诊断相关的因素包括初级ICU入院 (OR 1.8),伤害严重性得分 (ISS) ≥16 (OR 1.6),以及长时间住院 (OR 8.5).

结论:

尽管在初级创伤评估中使用TBCT,但很大一部分患者 (13.9%) 仍然经历了延迟诊断的伤害.
直接进入重症监护室 (ICU) 和较高的伤害严重性评分 (ISS) 是延迟诊断的重要预测因素.

关键词:

延迟诊断的伤害延迟诊断的伤害错过的伤害错过的伤害这就是TBCTT TBCT.创伤是一个创伤.

更多相关视频

Semi-quantitative Assessment Using [18F]FDG Tracer in Patients with Severe Brain Injury

Semi-quantitative Assessment Using [18F]FDG Tracer in Patients with Severe Brain Injury

Published on: November 9, 2018

Automated Midline Shift and Intracranial Pressure Estimation based on Brain CT Images

Automated Midline Shift and Intracranial Pressure Estimation based on Brain CT Images

Published on: April 13, 2013

相关概念视频

Computed Tomography

Computed Tomography

Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...

Radiological Investigation I: X-ray and CT

Radiological Investigation I: X-ray and CT

Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...

Imaging Studies I: CT and MRI

Imaging Studies I: CT and MRI

Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...