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了解使用CT评估暴力性损伤的价值;材料和方法14例暴力损伤者施行急诊CT检查。对损伤原因,CT诊断和临床处理进行比较和分析;结果:损伤原因中14.29%为枪击,28.57%为殴斗,21.43%为刀砍和刺伤,其它损伤占35.71%;损伤部位35.71%为胸部,21.43%为脑部,14.29%为颈椎,7.14%为腰部;临床处理21.43%为清创,35.71%为手术,21.43%为引流,7.14%为局部固定,其它占14.29%。结论:CT为头颅损伤的首选放射学检查方法,而对于其它部位损伤,CT可作为一种选择和补充的检查手段。
To understand the use of CT to assess the value of violent injuries; Materials and Methods 14 cases of violent injury were subjected to emergency CT examination. The causes of injury, CT diagnosis and clinical treatment were compared and analyzed. Results: 14.29% of injuries were shootings, 28.57% were fighting, 21.43% were knives and stab wounds, and other injuries accounted for 35%. 71% of the injured area, 35.71% of the injured area were the chest, 21.43% of the brain, 14.29% of the cervical spine and 7.14% of the lumbar area. The clinical treatment was 21.43% debridement and 35.71% , 21.43% for drainage, 7.14% for local fixation, other accounted for 14.29%. Conclusion: CT is the preferred method of radiological examination of head injury, while CT can be used as an alternative to check the injury of other parts.