隐性创伤性肺胸部:常规的胸部X射线是必要的吗?
Bishwajit Bhattacharya1, Rick O'Connor1, Robert D Becher1
1Yale School of Medicine, 330 Cedar Street BB310, New Haven, CT 06510, United States.
Surgery in practice and science
|January 23, 2025
概括
常规的胸部X射线用于隐性肺胸 (OPTX) 不会改变临床管理. 基于症状的OPTX监测可能是更有效地利用资源.
科学领域:
- 创伤外科手术是什么
- 胸部成像 胸部成像
- 紧急医疗 紧急医疗
背景情况:
- 隐藏性肺胸 (OPTX) 在CT扫描上被识别出来,而不是胸部X射线 (CXR).
- 缺乏基于证据的OPTX监测指南.
- 这项研究调查了常规CXR对OPTX监测的有用性.
研究的目的:
- 为了确定是否常规的胸部X射线隐藏肺胸病改变临床管理.
- 评估在患有创伤性OPTX的患者中进行干预的需要.
- 评估OPTX干预的预测因素.
主要方法:
- 对2013-2019年创伤性OPTX成年患者的回顾性分析.
- 抽象的数据包括人口统计,损伤机制和放射/临床演变.
- 评估干预的需要和相关因素.
主要成果:
- 分析了363名接受OPTX的患者;平均年龄为47.8岁,64.6%是男性.
- 只有1.9%的患者需要对OPTX进行干预.
- 年龄,性别,ISS或AIS并没有预测干预的需要.
结论:
- 监测OPTX的常规胸部X射线没有改变该队列的临床管理.
- 对OPTX的基于症状的CXR可能是更有效地利用医疗保健资源.
- 对最佳的OPTX监控策略进行进一步研究是有必要的.
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