标题:头胸腹联合螺旋CT检查在严重多发伤早期快速诊断中的应用
作者:何鹏飞,孙晓安,张丽华,李泉洪,张 艳
(深圳市宝安区中心医院急诊科,广东 深圳 518000)
卷次:
2015年26卷13期
【摘要】 目的 观察严重多发伤早期头胸腹联合螺旋CT检查对患者快速诊断及提高生存率的效果。
方法 选择 2008-2012年在我院接受抢救治疗的严重多发伤患者 100例作为研究对象。根据随机数字法分成
观察组和对照组,每组各 50例。对照组给予传统的头部CT、胸片、腹部B超检查,观察组则一次性给予头胸
腹联合螺旋CT检查,比较两组的治疗相关指标、两组诊断正确率及生存率。结果 观察组的确诊时间、有效
治疗时间、手术干预时间、住院天数及医疗费用均显著少于对照组,差异均有显著统计学意义(P<0.01);观察组
的诊断正确率和生存率分别为 96.00%和 92.00%,均明显高于对照组的 82.00%和 78.00%,差异均有统计学意义
(P<0.01)。结论 严重多发伤患者给予早期头胸腹联合螺旋CT检查有助于快速诊断,缩短诊疗时间,提升其生
存率,效果较好,值得临床推荐。
【关键词】 严重多发伤;早期;头胸腹联合螺旋CT检查;快速诊断;生存率
【中图分类号】 R64 【文献标识码】 A 【文章编号】 1003—6350(2015)13—1904—03
Clinical application of head, chest, abdominal spiral CT examination in the rapid diagnosis of severe multiple
injury.
HE Peng-fei, SUN Xiao-an, ZHANG Li-hua, LI Quan-hong, ZHANG Yan. Department of Emergency, Shenzhen
Baoan District Central Hospital, Shenzhen 518000, Guangdong, CHINA
【Abstract】 Objective To study the clinical application of head, chest, abdominal spiral CT examination in
rapid diagnosis of severe multiple injury and its effect of improving survival rate. Methods One hundred patients
with severe multiple injuries treated in our hospital from 2008 to 2012 were selected as research subjects. According
to the random number table, the patients were divided into observation group and control group, with 50 cases in each
group. The control group was given conventional head CT, chest X-ray and abdominal ultrasound examination, while
the observation group was given a one-time head, chest, abdominal spiral CT examination. The treatment-related in-
dexes, the correct rate of diagnosis and survival rate were compared between the two groups. Results The time of di-
agnosis, the effective treatment time, surgical intervention time, length of hospital stay and medical costs in the obser-
vation group were significantly less than those in the control group, and the differences were statistically significant
(P<0.05). The correct rate of diagnosis (96.00%) and survival rate (92.00%) in the observation group were significant-
ly higher than those in the control group (82.00%, 78.00%), and the differences were statistically significant (P<0.05).
Conclusion For the patients with severe multiple injury, head, chest, abdominal spiral CT examination in early stage
can help achieve rapid diagnosis, shorten the time of diagnosis, the survival rate, and improve the effect, which is wor-
thy of clinical recommendation.
【Key words】 Severe multiple injury; Early stage; Head, chest, abdominal spiral CT examination; Rapid diagno-
sis; Survival rate
基金项目:深圳市宝安区科技计划社会公益项目(编号:2013225)
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