中华放射学杂志
中華放射學雜誌
중화방사학잡지
Chinese Journal of Radiology
2008年
7期
679-682
,共4页
刘启榆%WANG Dong%郑卓肇%LIN Hua%王富春%PEI Xin-long%周西%HE Guo-qing%杨勇%GUAN Bin%张顺源
劉啟榆%WANG Dong%鄭卓肇%LIN Hua%王富春%PEI Xin-long%週西%HE Guo-qing%楊勇%GUAN Bin%張順源
류계유%WANG Dong%정탁조%LIN Hua%왕부춘%PEI Xin-long%주서%HE Guo-qing%양용%GUAN Bin%장순원
自然灾害%创伤和损失%放射摄影术%体层摄影术,X线计算机
自然災害%創傷和損失%放射攝影術%體層攝影術,X線計算機
자연재해%창상화손실%방사섭영술%체층섭영술,X선계산궤
Natural disasters%injuries and damage%Radiography%Tomography,X-raycomputed
目的 分析汶川特大地震中伤员的损伤类型和影像表现.方法 回顾分析自2008年5月13日至5月19日间在绵阳市中心医院放射科检查的1013例地震伤员的影像资料,包括x线平片854例(约2900处检查部位)和CT检查259例(约300处检查部位).结果 733例伤员可见影像表现异常,总阳性率约为72.4%,其中单区域损伤为527例(52.0%),多区域损伤为206例(20.3%).按发生率高低排列,依次为下肢骨折、脱位288例(28.4%)、胸部损伤151例(14.9%)、上肢骨折、脱位136例(13.4%)、脊柱骨折133例(13.1%)、骨盆骨折和(或)脱位114例(11.3%)、颅脑损伤88例(8.7%)、颌面骨折25例(2.5%)及腹部损伤8例(0.1%).在胸部损伤中,肋骨骨折136例,肺部损伤59例,胸骨骨折3例.脊柱骨折中,累及颈椎12例、胸椎43例、腰椎93例、骶尾椎12例.颅脑损伤中,颅骨骨折41例,脑内异常72例.腹部损伤则包括4例小肠梗阻、3例肾挫伤和1例腹壁血肿.结论 地震可造成全身多区域损伤,尤以下肢骨折脱位最为多见.
目的 分析汶川特大地震中傷員的損傷類型和影像錶現.方法 迴顧分析自2008年5月13日至5月19日間在綿暘市中心醫院放射科檢查的1013例地震傷員的影像資料,包括x線平片854例(約2900處檢查部位)和CT檢查259例(約300處檢查部位).結果 733例傷員可見影像錶現異常,總暘性率約為72.4%,其中單區域損傷為527例(52.0%),多區域損傷為206例(20.3%).按髮生率高低排列,依次為下肢骨摺、脫位288例(28.4%)、胸部損傷151例(14.9%)、上肢骨摺、脫位136例(13.4%)、脊柱骨摺133例(13.1%)、骨盆骨摺和(或)脫位114例(11.3%)、顱腦損傷88例(8.7%)、頜麵骨摺25例(2.5%)及腹部損傷8例(0.1%).在胸部損傷中,肋骨骨摺136例,肺部損傷59例,胸骨骨摺3例.脊柱骨摺中,纍及頸椎12例、胸椎43例、腰椎93例、骶尾椎12例.顱腦損傷中,顱骨骨摺41例,腦內異常72例.腹部損傷則包括4例小腸梗阻、3例腎挫傷和1例腹壁血腫.結論 地震可造成全身多區域損傷,尤以下肢骨摺脫位最為多見.
목적 분석문천특대지진중상원적손상류형화영상표현.방법 회고분석자2008년5월13일지5월19일간재면양시중심의원방사과검사적1013례지진상원적영상자료,포괄x선평편854례(약2900처검사부위)화CT검사259례(약300처검사부위).결과 733례상원가견영상표현이상,총양성솔약위72.4%,기중단구역손상위527례(52.0%),다구역손상위206례(20.3%).안발생솔고저배렬,의차위하지골절、탈위288례(28.4%)、흉부손상151례(14.9%)、상지골절、탈위136례(13.4%)、척주골절133례(13.1%)、골분골절화(혹)탈위114례(11.3%)、로뇌손상88례(8.7%)、합면골절25례(2.5%)급복부손상8례(0.1%).재흉부손상중,륵골골절136례,폐부손상59례,흉골골절3례.척주골절중,루급경추12례、흉추43례、요추93례、저미추12례.로뇌손상중,로골골절41례,뇌내이상72례.복부손상칙포괄4례소장경조、3례신좌상화1례복벽혈종.결론 지진가조성전신다구역손상,우이하지골절탈위최위다견.
Objective To analyze the injury types and radiologic findings of the wounded in the major Wenchuan earthquake of May 12, 2008. Methods Radiologic results of 1013 victims admitted to MianYang Central Hospital from May 13, 2008 to May 19, 2008 were studied retrospectively, including X-ray of 854 cases (about 2900 local exam positions) and CT scan of 259 cases (about 300 local exam positions). Results 733 cases showed radiologic abnormalities, including 527 cases of single region injury (accounting for 52. 0%) and 206 cases of multi-region injury (accounting for 20. 3%), the overall positive rate was 72. 4%. The results were in the following order on the basis of the incidence, 288 cases of lower extremity injuries (28.4%), 151 cases of thoracic injuries(14. 9%), 136 cases of upper extremity injuries(13.4%), 133 cases of spine fracture(13.1%), 114 cases of pelvic fracture and dislocation(11.3%),88 cases of craniocerebral injuries (8. 7%), 25 cases of maxillofacial fracture (2. 5%) and 8 cases of abdominal tranma(0. 1%). Thoracic injuries included: rib fracture in 136 cases, pulmonary injury in 59 cases, and sternal fracture in 3 cases. Spinal fracture included: cervical vertebrae involved in 12 cases,thoracic vertebrae involved in 43 cases, lumbar vertebrae involved in 93 cases, and Sacrococcygeal vertebraeinvolved in 12 cases. Craniocerebral injuries included: skull fracture in 41 cases, endocranial abnormalities in 72 cases. Abdominal trauma included: intestinal obstruction in 4 cases, renal contusion in 3 cases and abdominal wall hematoma in 1 case. Conclusion Most parts of the body can be injured by earthquake.Bone fracture and dislocation of lower extremity are the most common manifestations.
