Solid Organ Injury Grading in the Abdomen: A Primer for Emergency Radiology

IF 0.1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Bradley Roth, Jeanette Meraz, T. Bui, Elliott Lebby, L. Fanucci, David Kakish, R. Houshyar, R. Kampalath
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引用次数: 0

Abstract

The American Association for the Surgery of Trauma (AAST) established the Organ Injury Scale (OIS) in 1984, making an initial revision in 1994, and the most recent revision in 2018. This recent revision was made to better predict the need for operative or angiointervention management, considering active hemorrhage or other vascular complications. Diagnosis of hemodynamically stable patients is made by CT; however, hemodynamically unstable patients may be diagnosed via focused assessment with sonography in trauma (FAST) ultrasound or emergency laparotomy.1–3 In this article, we discuss in depth the different OIS gradings for renal, hepatic, and splenic trauma and demonstrate the necessary information that an emergency radiologist must know through a series of cases. This knowledge will allow radiologists to concisely communicate with referring teams and help them make the appropriate management decisions for each patient case.1,4
腹部实体器官损伤分级:急诊放射学入门
美国创伤外科协会(AAST)于1984年建立了器官损伤量表(OIS),于1994年进行了首次修订,最近一次修订于2018年。考虑到活动性出血或其他血管并发症,最近的修订是为了更好地预测手术或血管介入治疗的必要性。血液动力学稳定的患者通过CT进行诊断;然而,血液动力学不稳定的患者可以通过创伤超声(FAST)或急诊剖腹探查术中的超声聚焦评估来诊断。1-3在本文中,我们深入讨论了肾、肝和脾创伤的不同OIS分级,并通过一系列病例证明了急诊放射科医生必须了解的必要信息。这些知识将使放射科医生能够简明地与转诊团队沟通,并帮助他们为每个患者病例做出适当的管理决策。1,4
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