异常CT扫描的频率和与急诊室患者投诉的相关性
Nahideh Khosroshahi1, Simin Khayatzadeh-Kakhki1, Seyed Mehdi Alehossein1
1Associate professor of pediatric neurology, Deviation of Pediatric Neurology, Bahrami Children's Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
大多数儿童大脑计算机断层扫描 (CT) 扫描显示正常或微不足道的发现. 这项研究强调了需要精确的协议,以尽量减少辐射暴露和医疗保健成本在紧急儿科神经学评估.
科学领域:
- 儿科神经学 儿科神经学
- 放射学 放射学是一门学科.
- 紧急医疗 紧急医疗
背景情况:
- 计算机断层扫描 (CT) 是儿科急诊室的一个重要诊断工具.
- 脑CT扫描对儿科神经疾病的有用性和产量需要仔细评估.
研究的目的:
- 为了确定神经病症儿童中异常大脑CT扫描的频率.
- 在紧急情况下,将CT检测结果与特定患者症状相关联.
主要方法:
- 对200名患有神经疾病的儿科患者进行了回顾性审查,这些患者在咨询后24小时内接受了脑CT扫描.
- 2016-2020年间,从伊朗德黑兰巴拉米儿童医院收集的数据.
- 患者按主要投诉进行分类,并分析CT扫描结果.
主要成果:
- 58.5%的儿科大脑CT扫描报告为正常.
- 在患有焦点神经症状的儿童中,异常最为频繁.
- 脑CT最常见的征兆是发作 (34%),其次是初级诊断 (19%),偶然发现 (12%) 和先前存在的疾病 (10.5%).
结论:
- 大多数儿科神经病症的结果是正常或临床上无意义的脑CT发现.
- 遵守儿童大脑CT的严格协议对于减轻辐射风险,成本和时间至关重要.
- 优化CT利用率可以提高儿科急诊神经病学的医疗保健效率.
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