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| 1 | 多排螺旋CT检查在急腹症病因诊断中的价值显示文摘目的探讨多排螺旋CT(MSCT)扫描及三维重建成像对明确急腹症病因的诊断价值和临床应用。方法回顾性分析本院204例(2014年10月1至2015年9月10)急腹症病人应用多排螺旋CT扫描及三维重建成像的CT改变。结果全部患者中检出急性胰腺炎14例,消化道穿孔30例,急性阑尾炎38例,急性胆囊炎胆石症38例,泌尿系结石28例,肠系膜上动脉血栓形成6例,肠梗阻36例,外伤性肝脾破裂10例,宫外孕4例。所有病例经手术或临床治疗证实。结论 MSCT具有简便、快捷、无痛苦的优点,在个别特殊病例还可以进行增强扫描或进行三维成像,清楚的展示病变的形态,对急腹症诊断敏感性和准确性都较高,具有重要的实用价值。 | 马天赐 徐学权 王继芳 王军 | 2016 | 解放军预防医学杂志2016，34，S2： | 9 |
| 2 | Impact of surgical delay on outcomes in elderly patients undergoing emergency surgery: A single center experience显示文摘AIM: To determine predisposing factors leading to surgical delay in elderly patients with acute abdominal conditions and its impact on surgical outcomes.METHODS: A retrospective review of a total of 144 patients aged 60 years and older who had undergone emergency abdominal surgery between 2010 and 2013 at a regional general hospital was analysed. The operations analysed were limited to perforated or gangrenous viscus and strangulated hernia. Patient demographic features, time taken to obtain a computed tomography scan, time taken to surgery and the impact on postoperative morbidity and mortality were analysed.RESULTS: The mean age was 70.5 ± 9.1 years and median time taken to surgery was 9 h. The overall mortality and complication rates(Clavien Dindo 3 and above) were 9% and 13.1% respectively. Diabetes mellitus was a significant predisposing factor which had an impact on surgical delays. Delays in surgery more than 24 h led to higher complication rates at 38.9%(P = 0.003), with multivariate analysis confirming it as an independent factor. Delays in obtaining a computed tomography(CT) scan was also shown to result in higher complication rates(Clavien Dindo 3 and above).CONCLUSION: Delays in performing emergency surgery in elderly lead to higher complication rates. Obtaining CT scans early also may facilitate prompt diagnosis of certain abdominal emergencies where presentation is more equivocal and this may lead to improved surgical outcomes. | Marc Ong Tan Yu Guang Tan Kok Yang | 2015 | World Journal of Gastrointestinal Surgery2015，7，9： | 1 |
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