形创伤腹膜损伤的临床指标和成像特征:一项回顾性单中心研究
Hoon Ryu1, Chun Sung Byun2, Sungyup Kim1,3
1Department of Surgery, Yonsei University Wonju College of Medicine, Wonju 26426, Republic of Korea.
Journal of clinical medicine
|September 27, 2025
概括
诊断的隔膜损伤是具有挑战性的,即使用成像. 肺胸部和高伤害严重性得分 (ISS) 等关键指标可以在创伤患者中引起对隔膜损伤的怀疑.
科学领域:
- 创伤外科 手术 创伤外科
- 诊断成像 诊断成像 诊断成像
- 胸部外科手术 胸部外科手术
背景情况:
- 体隔膜损伤是一种不常见但难以诊断的疾病.
- 尽管有先进的成像技术,但确切的诊断往往仍然具有挑战性.
- 识别早期临床指标对于初始创伤患者评估至关重要.
研究的目的:
- 为了确定增加对粗腹膜损伤的怀疑的临床因素.
- 为了帮助初步评估创伤患者的潜在的腹膜损伤.
- 为了提高对隔膜创伤的诊断准确度.
主要方法:
- 从2015年1月到2025年7月,对被诊断患有隔膜损伤的患者进行了回顾性分析.
- 审查人口统计数据,临床表现,手术记录和成像发现.
- 专注于患有重创伤和确诊的隔膜损伤的患者.
主要成果:
- 交通事故是最常见的原因 (64.2%),其中77.4%的人遭受严重伤害 (ISS ≥16).
- 术前成像 (CT) 在49.1%的病例中错过了腹膜损伤.
- 肺胸部,下肋骨骨折和肝损伤在遗漏病例中更为频繁;肺胸部是一个强有力的指标.
结论:
- 对多创伤患者的身体损伤进行仔细的CT解释对于具有不稳定的生命体征的患者至关重要.
- 在高ISS病例中,增加对隔膜损伤的怀疑,包括肺胸部,血,血胸部,下肋骨骨折或四肢损伤,即使CT是负的.
- 如果经过彻底评估后仍然存在对隔膜损伤的临床怀疑,请考虑进行手术.
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