摘要
目的:分析钝性腹外伤并下腔静脉塌陷征的CT征象,探讨这些征象的临床价值。方法:回顾性搜集我院诊治的23例有钝性腹外伤病史并出现下腔静脉塌陷征的患者,分析其临床表现和CT征象。结果:23例患者有2例死亡。腹部增强CT发现肝脾强化程度减弱16例,“休克肠”9例,肾延迟强化7例,肾上腺强化延迟6例,肾上腺强化增强3例,对比剂外渗2例。结论:下腔静脉塌陷征可能是早期预测血流动力学失稳和需要进一步手术干预的重要指标;同时,认识其伴发CT征象对判断失血性休克具有一定提示作用,对治疗和预后有重要意义。
Objective:To investigate the computed tomography(CT)findings in blunt abdominal trauma patients with collapsed inferior vena cava(IVC),and clinical value in the management of blunt abdominal trauma.Methods:This retrospective study enrolled 23 blunt abdominal trauma patients with IVC collapse who underwent contrast-enhanced CT scan.The clinical manifestations and CT findings were also analyzed.Results:Among the 23 trauma patients,2 patients died after interventional treatment.The CT images showed decreased enhancement of the liver or spleen in 16 patients,shocked bowel in 9 patients,delayed enhancement of the renal medulla in 7 patients,delayed enhancement of the adrenal gland in 6 patients,hyper-enhancement of the adrenal gland in 3 patients,and contrast material extravasation in 2 patients.Conclusions:The coexistence collapsed IVC on CT might be an important indicator for early prediction of hemodynamic deterioration and surgical intervention.The complication of CT findings are possible indications of hypovolemic shock and have significance for prognosis and therapy in blunt abdominal trauma patients.
作者
金伟伟
吴静燕
徐伟才
杨晓亮
潘功茂
JIN Wei-wei;WU Jing-yan;XU Wei-cai(Wuxi Second Traditional Chinese Medicine Hospital,Jiangsu 214000,China)
出处
《放射学实践》
CSCD
北大核心
2022年第5期601-604,共4页
Radiologic Practice
