Clinical diagnosis of splenic injury and the value of CT.docVIP

 PAGE \* MERGEFORMAT 6 Clinical diagnosis of splenic injury and the value of CT [Keywords:] CT diagnosis of splenic injury Blunt splenic injury in the abdominal injury is most common, is closed due to the direct impact. Splenic rupture caused by direct subcapsular hematoma or hematoma. Hematoma on CT density and time of fresh blood for the high-density or isodense, with the bleeding prolonged hematoma density gradually reduced. timely and accurate diagnosis is important for clinical treatment, CT examination can not only determine whether the spleen injury, but also to determine the type and extent of damage, with high sensitivity and specificity. 1 Materials and Methods 1.1 General data collection abdominal organs caused by trauma patients with splenic injury in 36 cases, 32 males, 4 females, aged 17 to 55 years, trauma causes a car accident injured 26 cases of falls injury in 2 cases, the abdomen by a heavy object hit injury in 6 cases, the other two cases. the vast majority of treatment within 1h. 1.2 The main clinical manifestations of diffuse abdominal pain, the left upper abdomen and hypochondrium for the forward, left back or left shoulder and radiation, take a deep breath when the increase. Muscle tension, tenderness and rebound tenderness to the left upper abdomen obvious. Percussion mobility voiced when accompanied by complete rupture of the spleen, the patient’s hemoglobin dropped rapidly, and shock and other serious symptoms. 1.3 Methods for half an hour before the oral examination of 1% to 1.5% concentration of positive contrast agents 500ml, and then check the first 5min and then oral 200 ~ 300ml. With liver, gallbladder scan position. Scan range from the diaphragm for the next Saowan the spleen. To distinguish between the spleen door mass, tail of the pancreas or blood vessels, can be used right lateral scan scan, instruct patient to calm breath after breath. spleen scan using soft-tissue scan mode, thickness, laye