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Imaging of trauma in the pregnant patient

机译：孕妇的外伤影像

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摘要

The pregnant trauma patient presents an important and challenging encounter for the clinical team and radiologist. In this article, we present several key aspects of the imaging workup of pregnant trauma patients, beginning with a review of the modalities that are used in this setting. Ultrasonography plays an important role in initial evaluation of the fetus but a limited role in evaluation of maternal injuries. Given that conventional radiography and computed tomography are the "workhorse" modalities for evaluation of pregnant trauma patients, radiologists must pay particular attention to radiation dose concerns. Magnetic resonance imaging can be used after the initial evaluation and for follow-up imaging, and safety concerns related to its use in pregnant patients are addressed. At imaging interpretation, radiologists must contend not only with the typical spectrum of injuries that can be seen in any trauma patient but also with pregnancy-specific injuries, such as placental abruption and uterine rupture. Particularly unusual situations, such as a ruptured ectopic pregnancy in a trauma patient, are presented. Although pregnant trauma patients are infrequently encountered, familiarity with imaging findings of injuries in these patients is essential to providing the best care for the mother and fetus.
机译：怀孕的创伤患者为临床团队和放射科医生带来了重要且具有挑战性的遭遇。在本文中，我们将介绍孕妇创伤患者影像学检查的几个关键方面，首先是对在这种情况下使用的检查方式的回顾。超声检查在胎儿的初步评估中起着重要的作用，但在产妇损伤的评估中起着有限的作用。鉴于常规放射线照相和计算机断层扫描是评估怀孕创伤患者的“主力军”方式，放射科医生必须特别注意放射剂量问题。磁共振成像可以在初步评估后用于随访成像，并且可以解决与怀孕患者使用磁共振相关的安全性问题。在进行影像学解释时，放射科医生不仅必须应对在任何创伤患者中都能看到的典型伤害范围，而且还必须应对特定于妊娠的伤害，例如胎盘早剥和子宫破裂。提出了特别不寻常的情况，例如外伤患者的异位妊娠破裂。尽管很少会遇到怀孕的创伤患者，但熟悉这些患者的损伤影像学检查对为母亲和胎儿提供最佳护理至关重要。

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