[Trauma of the thoraco-abdominal area: imaging strategy]. / Traumatisme thoraco-abdominal: stratégie en imagerie.
J Radiol
; 89(11 Pt 2): 1833-54, 2008 Nov.
Article
en Fr
| MEDLINE
| ID: mdl-19106842
ABSTRACT
The imaging work up of patients following trauma to the thorax and/or abdomen is dependent upon the hemodynamic and respiratory status. In patients with respiratory distress, management is based on a chest radiograph to detect pleural effusion or pneumothorax requiring immediate drainage. In patients with hemodynamic shock despite adequate resuscitation, FAST US may be the only imaging study performed, along with a chest radiograph, prior to laparotomy in the presence of hemoperitoneum. CT is the key to the management of patients with potentially severe trauma based on clinical findings and/or the nature of the trauma. CT analysis must be rigorous and exhaustive to detect lesions responsible for the clinical findings but also to identify dangerous lesions even if not currently symptomatic, such as contained isthmic aortic transection, bowel perforation or diaphragmatic injury. In patients with less severe trauma, the choice between chest radiographs and abdominal US, more economical, and with less radiation, and CT of the thorax and abdomen, more exhaustive and more accurate, will be discussed on a case by case analysis.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Traumatismos Torácicos
/
Tomografía Computarizada por Rayos X
/
Traumatismos Abdominales
Tipo de estudio:
Prognostic_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
Fr
Revista:
J Radiol
Año:
2008
Tipo del documento:
Article
País de afiliación:
Francia