多探测器计算机断层血管造影评估四肢血管创伤:病例系列

Krishna Kumar M., Anil Kumar V., Arun R., S. V
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摘要

目的:本文的目的是回顾多探测器计算机断层扫描(MDCT)血管造影在四肢创伤评估中的应用。无论是在发展中国家还是发达国家,创伤都可能是一个巨大的公共卫生难题,而且经常涉及青少年。在各种创伤中,四肢血管损伤是危害肢体和生命安全的重要因素。导致失血和失血性休克的血管损伤仅次于中枢神经系统损伤;因此,影像学诊断是至关重要的创伤受害者尽早入院。虽然由于适当的住院前治疗、尽早将患者转诊到专门的创伤中心以及适当的手术干预,这些伤害的成功处理速度有所提高,但这些伤害仍然是一个具有挑战性的问题,特别是在发展中国家。结论:随着道路交通事故和暴力事件的不断增多,血管损伤已成为肢体丧失的重要原因,其发病率和死亡率均有所上升。MDCT血管造影已成为最无创的诊断成像血管分诊工具,适用于所有或任何种类的四肢创伤。轴向切片、多平面重建和三维体渲染图像应该有助于检测和改善对这些血管损伤、骨骼和软组织损伤的解释,这对临床医生计划外科手术有很大的帮助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Multi-Detector Computed Tomography Angiographic Evaluation of Extremity Vascular Trauma: Case Series
Objective: The purpose of this article is to review the multidetector computed tomography (MDCT) angiography within the evaluation of extremity trauma. Trauma could be a great public health dilemma in developing and developed countries and regularly involves teenagers. Among different kinds of trauma, vascular injuries of the extremities need special consideration because they’ll be threatening to limb and life. Vascular injury going to exsanguination and hemorrhagic shock is second to central nervous system injury; thus, imaging diagnosis is crucial for the trauma victim as early as possible from admission to the hospital. Although the speed of successful management of those injuries has been increased because of proper pre hospitalization, early referral of patients to specialized trauma centers, and proper surgical interventions, these injuries remain a challenging problem, especially in developing countries. Conclusion: With the rising trend of road traffic accidents and violence, vascular injuries have become a significant contributor of limb loss, with increased morbidity and mortality. MDCT Angiography has become the most non-invasive diagnostic imaging vascular triage tool applicable to all or any varieties of extremity trauma. Axial sections, multiplanar reconstructions and 3D volume-rendered images should aid within the detection and improve the interpretation of such vascular injuries, osseous and soft-tissue injuries which could be of immense help to the clinician planning surgical procedures.  
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