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为确定与膀胱破裂相关的各种X线和临床指征,并用作外伤病人行CT膀胱造影的选择标准,作者自1997年1月～1998年6月连续对157例血液动力学稳定的外伤病人进行了前瞻性研究。男113例,女44例,年龄16～91岁。均有不同程度血尿。其中包括车祸123例,摩托车车祸9例,行走时被机动车撞伤9例,堕落伤9例,殴打伤4例,盆腔穿刺伤3例。全部CT检查均采用螺旋CT扫描,层厚5mm,10mm间隔重建。病人在检查前口服240ml 4％的水溶性对比剂,在扫描开始前70s以3.0ml/s的速度注入150ml非离子型或180ml离子型碘对比剂。在完成增强CT后,
In order to determine the various X-ray and clinical indications associated with rupture of the bladder and to be used as a selection criteria for CT cystography in traumatic patients, the authors consecutively evaluated 157 patients with haemodynamically stable trauma from January 1997 to June 1998 A prospective study was conducted. There were 113 males and 44 females, aged from 16 to 91 years. Have varying degrees of hematuria. Including 123 cases of car accident, motorcycle accident in 9 cases, motor vehicle hit 9 cases of walking, 9 cases of fall injuries, assault in 4 cases, pelvic puncture in 3 cases. All CT examination using spiral CT scan, layer thickness 5mm, 10mm interval reconstruction. The patient was orally administered 240 ml of a 4% water-soluble contrast agent before the test and 150 ml of a nonionic or 180 ml ionic iodine contrast agent was infused at a rate of 3.0 ml / s for 70 seconds before the start of the scan. After the completion of enhanced CT,