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Usefulness of Multidetector Computed Tomography(M DCT) for the Initial Evaluation of Multiple Blunt Trauma of the Trunk
http://hdl.handle.net/10087/3448
http://hdl.handle.net/10087/3448e1cfc512-2f60-432f-ba3b-803d451242ee
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
58_141.pdf (156.3 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
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| 公開日 | 2008-10-21 | |||||
| タイトル | ||||||
| タイトル | Usefulness of Multidetector Computed Tomography(M DCT) for the Initial Evaluation of Multiple Blunt Trauma of the Trunk | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | blunt trauma | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | multiple traumas | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | multidetector CT | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | journal article | |||||
| 著者 |
Hagiwara, Shuichi
× Hagiwara, Shuichi× Ogino, Takashi× Isaka, Akira× Takahashi, Yuga× Nameki, Tarou× Kagoshima, Kaie× Yamada, Takurou× Ishihara, kouichi× Iino, Yuichi |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Background: Focused assessment with sonography for trauma (FAST) is useful for detecting hemoperitoneum \n(HE) in trauma patients in the emergency room (ER), but, patients’condition cannot be \nevaluated adequately by FAST alone. CT is useful for the diagnosis of multiple trauma, but has certain \ndrawbacks. We evaluated the utility of mutidetector computed tomography(MDCT) as the initial tool \nfor proper diagnosis and treatment planning of multiple trauma patients. Method: We retrospectively \nanalyzed 128 cases treated in ER of Gunma University Hospital between April 1, 2005 and December 31, \n2006, and they were hospital patients were hospitalized with blunt multiple trauma. We analyzed the \nsensitivity, specificity, and accuracy of FAST, compiled MDCT finding, lifesaving treatment, and \noutcome. Result: Eight patients were FAST positive, and 7 of the 8 were scanned by MDCT. There \nwere 120 patients were FAST negative patients, 23 of the 120 were MDCT-negative, despite visceral \ninjury, however 9 of the 120 had visceral injury by MDCT findings. Damage control surgery without \nMDCT was performed in one case, but the patient died after surgery. Six of the patients in the \nHE-positive group had really HE. One of the 6 died while a waiting surgery, transcatheter arterial \nembolization (TAE) was performed in three patients, and one person out of the 3 died. The course of \nthe remaining 2 patients was monitored, and they are alive. A patient in the HE-negative group with \nbladder rupture required surgery. There were 120 patients in the FAST-negative group. One of the 6 \npatients in the HE-positive subgroup died while a waiting surgery. One patient required chest and \npericardial drainage. TAE was performed in 2 patients, and the remaining 6 were monitored and are \nalive. There were 23 FAST-negative patients patients who had visceral injury. Five of them required \nchest drainage, one received TAE, 17 were monitored, and all of the 23 are alive. There were 14 cases \nof pelvic fracture alone, and all of them were FAST-negative. One patient required surgery for open \nfemoral fracture, TAE was performed in three, 10 monitored, all 14 are alive. Only one patient \ndeveloped shock during MDCT. The others underwent scanning safely. Conclusion: MDCT is a \nbetter tool for the diagnosis of blunt multiple trauma of the trunk than CT, because the scanning time\nis shorter. | |||||
| 書誌情報 |
The Kitakanto medical journal = 北関東医学 巻 58, 号 2, p. 141-145, 発行日 2008-05-01 |
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| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 1343-2826 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AN10585677 | |||||
| フォーマット | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | application/pdf | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| 出版者 | ||||||
| 出版者 | 北関東医学会 | |||||
| 資源タイプ | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Journal Article | |||||
| 更新日 | ||||||
| 日付 | 2017-03-27 | |||||
| 日付タイプ | Created | |||||
