血管成像是唯一可靠的方法,可以排除死或窒息后的粗脑血管损伤
Muhammad Zafar Khan1,2, Howard Wain3,4, Afroz Khan5
1Department of Vascular & Endovascular Surgery, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa.
World journal of surgery
|February 4, 2025
概括
脑血管损伤发生在4.6%的絞首和死病例中. 没有临床因素可以预测这些损伤,因此需要对所有患者进行CT血管图像,以防止中风.
科学领域:
- 医疗成像医学成像
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
背景情况:
- 窒息和死伤害是自伤的常见形式.
- 这些病例中脑血管损伤的发生及其临床相关性尚未得到充分了解.
- 对这些损伤的最佳成像策略仍未确定.
研究的目的:
- 为了确定杀或悬挂损伤的患者中不脑血管损伤的发生率.
- 确定这些患者血管损伤的临床或实验室预测因素.
- 为了为患有窒息或悬挂伤害的患者提供成像指南.
主要方法:
- 一个前性收集的数据库的多中心回顾性审查.
- 包括所有患有悬挂或窒息伤害的患者.
- 对所有患者进行CT血管图谱,随后对人口统计,临床数据,实验室结果和成像发现进行统计分析.
主要成果:
- 在11年的时间里,确定了194名患者.
- 只有4.6%的患者在CT血管图上发现了积极的结果.
- 在阳性成像发现与临床或实验室数据之间没有发现相关性.
- 住院死亡率为1%,没有与血管损伤相关的死亡.
结论:
- 在窒息或悬挂伤害中,血管损伤的发生率为4.6%.
- 临床和实验室发现不能可靠地排除血管损伤的存在.
- 建议对所有患有窒息或悬挂伤害的患者进行CT血管造影,以检测潜在的严重血管损伤.
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