Application of 64-slice helical CT in early treatment of multiple trauma: report of 284 cases

张连阳; 姚元章; 王韬; 刘朝普; 李英才; 张宇; 黄显凯; 何奇元; 张伟国; 王毅; 陈蓉

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Application of 64-slice helical CT in early treatment of multiple trauma: report of 284 cases

更新时间：2026-01-09

- Application of 64-slice helical CT in early treatment of multiple trauma: report of 284 cases
- Journal of Army Medical University Vol. 30, Issue 14, Pages: 1374-1377(2008)
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  CLC： R64;R814.42
- Published：2008
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张连阳,姚元章,王韬,刘朝普,李英才,张宇,黄显凯,何奇元,张伟国,王毅,陈蓉.多发伤早期救治中64层螺旋CT的应用[J].陆军军医大学学报(原第三军医大学学报),2008,30(14):1374-1377.

　ZHANG Lian-yang,YAO Yuan-zhang,WANG Tao,LIU Zhao-pu,LI Ying-cai,ZHANG Yu,HUANG Xian-kai,HE Qi-yuan,ZHANG Wei-guo,WANG Yi,CHEN Rong.Application of 64-slice helical CT in early treatment of multiple trauma: report of 284 cases[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(14):1374-1377.
张连阳,姚元章,王韬,刘朝普,李英才,张宇,黄显凯,何奇元,张伟国,王毅,陈蓉.多发伤早期救治中64层螺旋CT的应用[J].陆军军医大学学报(原第三军医大学学报),2008,30(14):1374-1377. DOI：

　ZHANG Lian-yang,YAO Yuan-zhang,WANG Tao,LIU Zhao-pu,LI Ying-cai,ZHANG Yu,HUANG Xian-kai,HE Qi-yuan,ZHANG Wei-guo,WANG Yi,CHEN Rong.Application of 64-slice helical CT in early treatment of multiple trauma: report of 284 cases[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(14):1374-1377. DOI：

摘要

目的探讨64层螺旋CT在多发伤早期救治中的作用。方法回顾性分析2006年1月至2007年10月间救治的284例多发伤，男性232例，女性52 例；平均年龄34.5岁。头颈伤54例，面部伤35例，胸部伤125例，腹部伤112例，骨盆及四肢伤104例，体表伤254例。合并休克103例。ISS 10～54分，平均16.3分。37例因伤情过重直接送入手术室，247例到院后3 h内64层螺旋CT检查。结果螺旋CT检查时间8.4 min。21例初检时有漏诊。急诊手术154例，其中启动绿色通道74例，非手术治疗130例。治愈272例（95.8％）；死亡12例（4.2％）。结论多发伤早期救治中应用64层螺旋CT有助于缩短院内术前时间，提高早期确诊率和救治水平。

Abstract

Objective To investigate the role of 64-slice helical CT in treatment of multiple trauma. Methods A retrospective study was carried out on 284 cases of multiple trauma including 232 males and 52 females (with average age of 34.5 years) admitted from January 2006 to October 2007 in our hospital. Injury sites and injury frequency were distributed at head and neck in 54 cases/times

face in 35

thoracic region in 125

abdomen in 112

pelvis and extremities in 104 and body surface in 254. Of all

103 cases/times were combined with shock. Their traumatic condition evaluated by injury severity score (ISS) was 10 to 54 points

mean 16.3 points. Of all

37 cases were sent for operation directly because of severe injury

the other 247 cases were examined with 64-slice helical CT within 3 h after admission. Results Mean time of 64-slice helical CT scanning was 8.4 min. Misdiagnosis happened in 21 cases. Emergency operation was done in 154 cases

of which 74 cases received operation via free channel. A total of 130 cases were treated non-surgically. Of all

272 cases (95.8％) survived but 12 (4.2％) died. Conclusion Application of 64-slice helical CT in early treatment of multiple trauma is helpful for shortening preoperative time and improving early definite diagnosis and management.

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Related Institution

Department of Emergency Medicine， First Affiliated Hospital， Army Medical University （Third Military Medical University）

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