摘要：目的：介绍腹部脏器损伤中的CT诊断作用及其表现。方法：54例腹部脏器损伤中，43例为单一脏器损伤，11例为多脏器损伤。受伤脏器分别为脾23例、肝16例、肾13例、胰腺2例、膀胱3例、肠和肠系膜4例。全部病例均在受伤后8小时内进行CT平扫检查，部分病历做增强扫描。结果：CT容易发现腹内脏器损伤的部位、不同类型破裂和不同程度出血。对并发的腹壁、腹腔及后腹膜腔、脊柱、肋骨等损伤也能同时检出。增强CT检查对损伤的诊断明显优于平扫。结论：CT对腹部脏器损伤具有很高的敏感性和特异性，为外科医师决定治疗方案提供重要的依据。

    关键词：CT；损伤；腹部脏器损伤

    CT Diagnosis of Abdominal Visceral Injury

    RUAN Hai-wei

    (The Second Hospital of Fuzhou, Fujian Fuzhou 350007,China)

    Abstract: Objective: Introducting the value of CT technique and finding in diagnosing abdominal parenchymal visceral injury.Method:54 cases abdomen by visceral trauma including 43 cases of single and 11 multiple visceral involvement respectively.The distributions were as following,spleen 23 cases, liver 16 cases, kidney 13, pancreas 2, bladder 3, intestines andmesentery 4.All cases were undergone conventional CT scanning within 8 hours after injury. Do the scanning of strengthening in some case histories. Result:It's easy for CT scan to discover the different types of rupture and variable degrees of hemorrahages of abdominal visceral parenchymal injury,and also the complicaltions occurred on abdominal wall,abdomial and retroperitoneal cavities,spine,rib etc,simultaneously. Strengthens the CT inspection obviously to surpass to the damage diagnosis evenly sweeps. Conclusion: It has very high sensitivenesses and peculiar that CT scans and damages the belly internal organs ,Offer the important basis for the thing that the surgeon decides the healing solution. ......