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首页> 外文期刊>The Internet Journal of Academic Physician Assistants >Post Mortem CT Scan: An Alternative Method In Forensic Medicine And Trauma Research
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Post Mortem CT Scan: An Alternative Method In Forensic Medicine And Trauma Research

机译：事后CT扫描：法医学和创伤研究的替代方法

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In Israel, permission to conduct autopsy is very difficult to get. Postmortem CT PMCT scan allows a relatively quick diagnosis of causes for death. It also serves for quality assurance in trauma and trauma research. Seven cases of PMCT are demonstrated and discussed in this article. Introduction Since we have published our paper “Utility of postmortem computed tomography in trauma victims” (Donchin-Y; Rivkind-AI; Bar-Ziv-J; Hiss-J; Almog-J; Drescher-M J-Trauma. 1994 Oct; 37(4): 552-5; ) we have performed more than 90 postmortem CT scans. We would like to present 7 cases to demonstrate the value of the postmortem CT scan PMCT . This method does not substitute formal necropsy, but if there is no other way to answer clinical question, like: PMCT can be done within a few minutes and there is no need to touch the body. It is the method of choice when there is no time for further diagnostics or when permission for autopsy cannot be obtained. The following cases serve as an illustration of the possibilities of PMCT diagnostic. Case descriptions Case 1: A 30-year-old Male was killed in a snapping accident. Head CT in soft tissue window demonstrates pneumocephalus (figure a, curved arrow). Intra-ventricular hemorrhage is also noted (figure a, straight thin arrow). A metallic fragment is seen in the nasopharynx, representing a dislodged tooth fragment with an amalgam feeling (figure b, straight block arrow). Figure c is a lateral cervical film demonstrating the metallic fragment within the nasopharynx (block arrow)
机译：在以色列，很难获得进行尸检的许可。死后CT PMCT扫描可以相对快速地诊断死亡原因。它还可用于创伤和创伤研究的质量保证。本文演示并讨论了7个PMCT案例。引言自从我们发表论文“创伤受害者的事后计算机断层扫描的实用性”（Donchin-Y; Rivkind-AI; Bar-Ziv-J; Hiss-J; Almog-J; Drescher-M J-Trauma。1994年10月; 37（4）：552-5;）我们​​已经进行了90多次验尸CT扫描。我们想提出7个案例，以证明尸检CT扫描PMCT的价值。这种方法不能代替正式的尸检，但如果没有其他方法可以回答临床问题，例如：PMCT可以在几分钟内完成，而无需触摸身体。当没有时间进行进一步诊断或无法获得尸检许可时，这是一种选择的方法。以下情况说明了PMCT诊断的可能性。案例描述案例1：一名30岁的男性在一次抢救事故中丧生。软组织窗口的头部CT表现为肺气肿（图a，弯曲箭头）。还记录了脑室内出血（图a，细直箭头）。在鼻咽中看到一个金属碎片，代表有汞齐感的脱落的牙齿碎片（图b，直箭头）。图c是一个子宫颈侧面膜，显示了鼻咽内的金属碎片（方框箭头）

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