PDF(Pubmed)
Abstract：
Computed tomography (CT) is a sensitive and specific test for thoracic aortic injury, and is the choice of diagnostic test for adult patients. However, the diagnostic accuracy of conventional CT in pediatric patients has not been elucidated, and the diagnostic strategy has not been clarified. We present the case of an eight-year-old patient who had a thoracic injury, with left open pneumothorax, pulmonary contusion, and multiple left-sided rib fractures. Although the findings on conventional CT were insufficient either to diagnose or deny as having thoracic aortic injury, additional examination using electrocardiogram-gated CT angiography and three-dimensional reconstruction revealed a localized enlarged aortic diameter with an intimal flap. Electrocardiogram-gated CT may be useful for diagnosing thoracic aortic injury in pediatric patients.
摘要：
计算机断层扫描（CT）是胸主动脉损伤的敏感和特异性测试，并且是成人患者诊断测试的选择。然而,常规CT在儿科患者中的诊断准确性尚未阐明，诊断策略尚未明确。我们介绍了一个八岁的患者胸部受伤的情况，左侧开放性气胸,肺挫伤,左侧多处肋骨骨折.尽管常规CT的发现不足以诊断或否认患有胸主动脉损伤，使用心电图门控CT血管造影和三维重建进行的额外检查显示，局部主动脉直径增大，内膜瓣。心电图门控CT可用于诊断儿科患者的胸主动脉损伤。
