在60岁以上的患者中,CT扫描评估从站立高度跌倒后的损伤
Sarim Ather1,2, Katrina Nash3,4, Joelle Alexander5
1Oxford University Hospitals NHS Foundation Trust, Oxford, OX3 9DU, UK. sarim.ather@ouh.nhs.uk.
Emergency radiology
|August 21, 2025
概括
60岁以上的老年患者在摔倒后有高胸部损伤的风险. 计算机断层扫描 (CT) 显示出严重的损伤,而X射线往往没有发现,CT
科学领域:
- 老年创伤
- 放射学成像协议
- 紧急医疗
背景情况:
- 老年人 (60岁以上) 跌倒是急诊室的重要原因.
- 对于适当的管理来说,评估急性伤害的程度至关重要.
- 计算机断层扫描 (CT) 经常用于评估潜在的胸部和腹部创伤.
研究的目的:
- 在60岁以上的患者中,从站立高度跌倒后出现的急性损伤的范围和严重程度.
- 评估CT成像在诊断这些损伤中的实用性.
- 评估当前CT成像方案对这一患者群体的适用性.
主要方法:
- 对60岁以上从站立高度摔倒的患者CT胸部请求的回顾 (2019-2020年).
- 从放射信息系统和电子病历中提取数据.
- 分析CT检测结果,包括胸部,腹部和骨盆的增强对比和非对比扫描.
主要成果:
- 超过60岁的患者中有51% (178/349) 在跌倒后在CT上出现急性胸部发现.
- 肋骨骨折是最常见的 (170名患者),同时进行胸部X射线 (CXR) 时经常错过.
- 急性腹部创伤的发现很少见 (在接受腹部盆腔CT的患者中为16%).
结论:
- 老年患者在从站立高度摔倒后很容易受到胸部伤害.
- 胸部CT对于准确诊断至关重要,
- 在老年人中,CT成像对于评估与跌倒有关的伤害至关重要,腹部伤害较少发生.
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