CAJ | 학술논문

回顾性分析185例胸部闭合性损伤患者的临床、X线及CT表现.胸部闭合性损伤包括肺挫伤185例,其中合并肺撕裂伤35例,Macklin效应5例,肺疝1例.肺挫伤CT表现为肺纹理增粗、模糊9例,小点状影12例,斑片状影48例,小片状影10例,磨玻璃影16例,大片状或肺段影5例,广泛性云絮状影17例,混合性病灶68例.肺撕裂伤表现为肺血肿8例(12个病灶),肺气囊腔14例(19个病灶),液气囊腔25例(53个病灶).支气管血管束周围条状气体密度影5例;含气的肺组织疝入右侧前胸壁皮下组织内1例.首次CT漏诊肺挫伤1例,肺撕裂伤2例.
회고성분석185례흉부폐합성손상환자적림상、X선급CT표현.흉부폐합성손상포괄폐좌상185례,기중합병폐시렬상35례,Macklin효응5례,폐산1례.폐좌상CT표현위폐문리증조、모호9례,소점상영12례,반편상영48례,소편상영10례,마파리영16례,대편상혹폐단영5례,엄범성운서상영17례,혼합성병조68례.폐시렬상표현위폐혈종8례(12개병조),폐기낭강14례(19개병조),액기낭강25례(53개병조).지기관혈관속주위조상기체밀도영5례;함기적폐조직산입우측전흉벽피하조직내1례.수차CT루진폐좌상1례,폐시렬상2례.
CT findings and complete clinical data of 185 cases with closed chest injuries were retrospectively analyzed.The diagnosis of 185 cases were pulmonary contusion ( n = 185 ),pulmonary laceration ( n = 35 ),Macklin effect ( n = 5 ) and lung herniation ( n = 1 ).CT findings of lung contusion appeared as thick and vagur lung marking (n =9),small points shadows (n = 12 ),blotchy shadows (n =48),small pieces shadows (n=10),ground-glass shadows (n=16),large pieces shadows (n =5),diffuse patchy clouding shadows (n = 17) or mixed lesions (n = 68).CT appearance of lung laceration included pulmonary hematomas (n = 12),cavitary lesions with air ( n = 19),cavitary lesions with air-fluid levels ( n = 53 ).Macklin effect appeared as bronchus-,pulmonary vessel-adjacent air collection and mediastinal air collection (n=5).Traumatic pulmonary hernia appeared as lung herniation through an intercostal space.Initial CT scan missed one case of pulmonary contusion and 2 cases of pulmonary laceration.