| Management of splenic trauma: a new CT-guided splenic injury grading system. | |
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MedLine Citation:
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PMID: 2025187 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aim of this study was to assess a newly developed computerized tomography (CT)-based splenic injury index in predicting the outcome of splenic injury. Twelve patients with isolated splenic injuries were studied. Splenic parenchymal injury was graded from 1 to 4 based on CT. The splenic injury index was obtained by multiplying the parenchymal score by the volume haemoperitoneum, which was measured on the CT scanner. The 12 patients with CT-proven splenic injuries had a mean injury index of 193.5 +/- 191 (mean +/- s.d.). The 3 patients who failed conservative management had a mean index of 475 +/- 50, compared with an index of 99.5 +/- 100 in the nine managed non-operatively (P less than 0.001). This new CT-based splenic injury index allows morphological assessment of splenic injury and may predict the outcome of splenic trauma. |
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Authors:
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M Sugrue; A Knox; R Sarre; N McIntosh; J Toouli |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Australian and New Zealand journal of surgery Volume: 61 ISSN: 0004-8682 ISO Abbreviation: Aust N Z J Surg Publication Date: 1991 May |
Date Detail:
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Created Date: 1991-05-31 Completed Date: 1991-05-31 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0373115 Medline TA: Aust N Z J Surg Country: AUSTRALIA |
Other Details:
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Languages: eng Pagination: 349-53 Citation Subset: IM |
Affiliation:
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Department of Surgery, Flinders Medical Centre, Bedford Park, South Australia. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Child Child, Preschool Female Hemoperitoneum / etiology, radiography Humans Male Middle Aged Prognosis Spleen / injuries*, pathology, radiography Splenectomy Tomography, X-Ray Computed* Wounds and Injuries / pathology, radiography, surgery |
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