急诊科偶然发现的CT检查结果临床分析

蔡宗群; 郭舜奇; 郭旭武; 卢森荣; 翁增杰

doi:10.13201/j.issn.1009-5918.2015.03.011

急诊科偶然发现的CT检查结果临床分析

- 汕头市中心医院急诊内科(汕头, 515031)

详细信息

通讯作者: 蔡宗群,E-mail:caizq08@yahoo.cn

中图分类号: R197.3

收稿日期: 2014-11-28

Incidental findings on CT scans in the emergency department

- Department of Emergency, The Hospital of Shantou, Shantou 515031, China

More Information

Corresponding author: CAI Zongqun, E-mail: caizq08@yahoo.cn

Received Date: 28 November 2014

摘要

摘要: 目的：探讨急诊科患者计算机断层显像（computed tomography，CT）检查偶然发现的影像学结果发生率以及患者出院时收到的告知程度。方法：入选2011-09-2012-06急诊科20岁以上行CT检查的患者738例。收集临床资料，比较患者入院时主诉与CT检查影像学结果作为评估CT检查的偶然发现，通过患者出院时的记录资料来判断患者是否被告知CT检查偶然发现。结果：738例患者共进行了857项CT扫描检查，头颅扫描608项，胸部扫描127 项，腹部扫描122项，总共有281个偶然发现，至少有1个偶然发现的CT结果发生率为26.7%（229/857），其中有33（11.7%）个偶然发现在出院记录中显示告知患者，同时具有两项以上偶然发现的告知率比仅有一项偶然发现的告知率增高（P=0.00）。性别和年龄分别在偶然发现率和告知率差异无统计学意义。结论：急诊科CT检查的偶然发现是常见的，但对患者的告知却不是常见的。急诊医师应高度重视准确把握对患者的告知义务和不断提高告知能力。
- 急诊科 /
- 计算机断层显像
Abstract: Objective: To explore rates of findings and disclosure among discharged patients who received a computed tomography (CT) scan in the ED.Method: There were 738 patients aged 20 and older discharged home from the ED during Sep 2011 to Jun 2012.CT reports were used to identify incidental findings and discharge paperwork was used to determine whether the patients were informed of these findings.Result: There were 857 CT scans among 738 patients:608 Head,127 Thorax and 122 Abdomen.A total of 281 incidental findings were documented in 26.7%(229/857)of the scans,of which 33 (11.7%) were reported to patients in discharge paperwork.Patients with 1 incidental finding were less likely to receive disclosure than patients with 2 or more (P=0.00).There was no significant disclosure or incidental finding difference by gender or age.Conclusion: Incidental findings on CT scans in the ED are common,but it was not common to receive disclosure.
- emergency department /
- computed tomography

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