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首页> 外文期刊>Journal of the American College of Radiology: JACR >ACR Approprteness Criteria Blunt Chest Trauma
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ACR Approprteness Criteria Blunt Chest Trauma

机译：ACR适当性标准钝性胸外伤

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摘要

Imaging is paramount in the setting of blunt trauma and is now the standard of care at any trauma center. Although anteroposterior radiography has inherent limitations, the ability to acquire a radiograph in the trauma bay with little interruption in clinical survey, monitoring, and treatment, as well as radiography's accepted role in screening for traumatic aortic injury, supports the routine use of chest radiography. Chest CT or CT angiography is the gold-standard routine imaging modality for detecting thoracic injuries caused by blunt trauma. There is disagreement on whether routine chest CT is necessary in all patients with histories of blunt trauma. Ultimately, the frequency and timing of CT chest imaging should be site specific and should depend on the local resources of the trauma center as well as patient status. Ultrasound may be beneficial in the detection of pneumothorax, hemothorax, and pericardial hemorrhage; transesophageal echocardiography is a first-line imaging tool in the setting of suspected cardiac injury. In the blunt trauma setting, MRI and nuclear medicine likely play no role in the acute setting, although these modalities may be helpful as problemsolving tools after initial assessment.
机译：在钝性创伤的情况下，影像检查至关重要，现在是任何创伤中心的标准治疗。尽管前后放射线照相法具有固有的局限性，但在临床调查，监测和治疗中几乎不中断地在创伤海湾中获取放射线照相的能力，以及放射线照相法在筛查创伤性主动脉损伤中的公认作用，都支持常规的胸部放射线照相术。胸部CT或CT血管造影术是检测由钝性创伤引起的胸部受伤的金标准常规影像学检查方法。对于所有有钝器损伤史的患者是否需要常规胸部CT检查，存在分歧。最终，CT胸部成像的频率和时机应针对特定地点，并应取决于创伤中心的当地资源以及患者状况。超声检查可能有助于检测气胸，血胸和心包出血。经食道超声心动图检查是可疑心脏损伤情况的一线成像工具。在钝性创伤环境中，MRI和核医学可能在急性环境中不起作用，尽管这些方法可能在初步评估后作为解决问题的工具有所帮助。

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