论文部分内容阅读
目的讨论外伤性脾破裂的CT与临床表现。方法收集外伤性脾破裂患者90例,男73例,女17例,年龄17~65(41±3)岁。68例为车祸伤,8例为打击伤,8例为刀伤,8例为高处坠落伤,全部病例经手术证实。结果脾内血肿呈类圆形或斑片状高密度影,脾撕裂伤在脾实质内见低密度带,脾周新月形高等低密度混杂影。脾包膜下血肿,表现沿脾侧边缘向外新月形低密度影,增强脾实质明显强化,而血肿不强化。结论CT平扫及增强扫描能显示外伤性脾破裂的典型CT表现,并能明确分型。
Objective To discuss CT and clinical manifestations of traumatic splenic rupture. Methods Totally 90 traumatic patients with splenic rupture were collected, including 73 males and 17 females, aged 17-65 years (41 ± 3 years). 68 cases of car accident injuries, 8 cases of combat injuries, 8 cases of wounds, 8 cases of falling injury, all cases were confirmed by surgery. Results Splenic hematoma was round or patchy high density, spleen laceration in the spleen parenchyma see low-density zone, splenic crescent-shaped high-density low-density mixed shadow. Splenic subcapsular hematoma, along the edge of the spleen along the outward crescent-shaped low density, enhanced splenic parenchyma significantly enhanced, and hematoma is not enhanced. Conclusion CT scan and enhanced scan can show the typical CT findings of traumatic splenic rupture, and can clearly type.