计算机断层扫描中的偶然发现,在儿童中出现了的腹部创伤
Irma T Ugalde1, Kenneth Yen2, Grant Tatro3
1Department of Pediatrics, Section of Emergency Medicine, University of Chicago Pritzker School of Medicine, Chicago, IL.
Annals of emergency medicine
|January 23, 2025
概括
在的腹部创伤后的儿童的计算机断层扫描 (CT) 扫描显示,在40%的病例中发现了偶然的发现. 这些非创伤性发现中很少需要紧急的后续检查,强调合理的CT使用.
科学领域:
- 儿科放射学 儿科放射学
- 紧急医疗 紧急医疗
- 诊断成像 诊断成像 诊断成像
背景情况:
- 计算机断层扫描 (CT) 上的非创伤性偶然发现在儿科突击腹部创伤后很常见.
- 这些偶然发现的临床意义和管理尚未得到充分确立.
研究的目的:
- 为了确定儿童在的腹部创伤后的偶然CT发现的流行率和类型.
- 评估这些偶然发现的临床紧迫性和后续建议.
主要方法:
- 一项多中心前性队列研究的二次分析,涉及患有体腹部创伤的儿童 (<18岁).
- 对腹部/骨盆CT扫描的放射学报告进行了审查,以寻找非创伤性发现.
- 偶然发现被根据临床紧迫性和随访需要进行分类.
主要成果:
- 在接受CT的2500名儿童中,988名 (39.5%) 有1552个偶然发现.
- 只有3.5%的偶然发现需要立即评估/治疗,5.4%需要在4周内进行门诊随访.
- 大多数发现是常规的 (36%),有潜在的需要 (37%),或不需要随访 (18%).
结论:
- 大约40%的患有不腹部创伤的儿科患者有偶然的CT发现.
- 大多数偶然发现并不具有临床意义,也不需要紧急管理.
- 在儿童创伤护理中,对CT扫描的明智使用和为管理偶然发现做好准备至关重要.
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