ABSTRACT
Objective To evaluate the clinic value of CT in diagnosis and classification of renal trauma.Methods 78 cases of renal trauma were analyzed retrospectively.Results Based on CT manifestations,the renal trauma could be divided into Ⅳ types;Ⅰ type,rupture of kidney in 36 cases;Ⅱ type,subcapsular hematoma in 28 cases ;Ⅲ type,broken kidney in 16 cases;Ⅳ type,single hematoma around the kidney in 2 cases.The conservative treatment was used for Ⅰ type and Ⅱ type.Ⅲ type underwent surgical operation.Conclusion The definitive diagnosis and classification of renal trauma can be made by CT,and that can provide significant value in planning surgical treatment
ABSTRACT
Objective To summarize CT manifestation of atypical brain injuries . Methods The data of 14520 patients with brain injury who have examined by CT scan were collected from1996～2002. Thin slice and HRCT were performed in interested region.Of them,53 cases are diagnosed as delayed or atypical brain injuries. Results In 17 cases of brain contutions , high density punctate lesion(9 cases), and patchy low-dense areas(8 cases)were showed on CT. In 36 cases of delayed brain injuries, CT showed cerebral edema(9 cases),axonal injuries(7 cases), scattered micro-hematoma(5 cases), and delayed subdural hematoma (15 cases).Conclusion CT scan is of important value in dignosing brain injury. We should play much attention to the atypical CT manifestations of brain trauma , and reexamination has great sense to old age patients especially.