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目的探讨和分析ＣＴ对急性腹部钝伤的临床应用价值。方法经ＣＴ检查并诊断证实的急性腹部钝伤６３例，男６１例，女２例。其中肝破裂３０例（４７％），脾破裂１８例（２８％），胰腺损伤２例（３．１％），肾脏创伤１２例（１９％），肠道创伤１例（１．５％），全部病例均做了ＣＴ平扫，３６例加做增强扫描，对其临床和ＣＴ表现进行分析。结果肝、脾、胰、肾等实质性脏器创伤的ＣＴ表现为：①包膜下新月形等密度或高密度血肿；②损伤器官内单发或多发高密度血肿（即：哨兵血块征）；③增强后损伤器官内显示低密度条带或裂隙影；④其它表现：腹腔积血、腹膜后血肿、腹壁软组织肿胀增厚、气胸或气腹以及合并有骨折等。结论ＣＴ是腹腔内实质性器官创伤诊断的重要影像学检查技术，不但可发现实质性器官破裂的部位、范围、有无包膜破裂以及出血量，可为临床治疗提供重要信息。
Objective To investigate and analyze the clinical value of CT in the treatment of acute abdominal blunt trauma. Methods 63 cases of acute abdominal trauma confirmed by CT examination and diagnosis were diagnosed, including 61 males and 2 females. There were 30 cases of hepatic rupture (47%), 18 cases of splenic rupture (28%), 2 cases of pancreatic injury (3.1%), 12 cases of renal trauma (19%) and 1 case of intestinal trauma , All cases were done CT scan, 36 cases plus enhanced scan, its clinical and CT performance analysis. Results The CT findings of liver, spleen, pancreas and kidney were as follows: ① crescent-shaped isodense or high-density hematoma; ② single or multiple high-density hematoma (ie, sentinel blood clots ); ③ enhance the lesion showed low density within the organ or slit shadow; ④ other performance: hematocele, retroperitoneal hematoma, abdominal wall thickening of soft tissue swelling, pneumothorax or pneumoperitoneum and the merger of fractures. Conclusion CT is an important imaging technique for the diagnosis of intraperitoneal substantive organ trauma. CT can not only find the location and extent of ruptured tuberculum, but also the presence or absence of rupture of the capsule and the amount of bleeding, which can provide important information for clinical treatment.