CAJ | 학술논문

目的：探讨128层螺旋CT在胸部创伤诊断的应用的价值。方法60例胸部创伤患者行胸部128层螺旋CT快速扫描，应用工作站进行SSD、VR、MIP、（MPR/CPR）多种图像后处理成像。结果胸壁软组织损伤40例，皮下气肿10例；锁骨骨折34例、肩胛骨骨折20例、肋骨骨折43例、肋软骨骨折5例、胸骨骨折11例、胸椎骨折17例；肺挫伤49例，肺撕裂伤14例；气胸16例，血胸13例，血气胸24例；纵隔气肿12例，纵隔血肿4例，主动脉损伤2例，心包积液1例，膈疝4例；肝脏损伤6例，脾脏9例，肾脏4例。结论多层螺旋CT是胸部创伤检查的最佳首选检查方法，在急诊救助诊断起重要作用。
목적：탐토128층라선CT재흉부창상진단적응용적개치。방법60례흉부창상환자행흉부128층라선CT쾌속소묘，응용공작참진행SSD、VR、MIP、（MPR/CPR）다충도상후처리성상。결과흉벽연조직손상40례，피하기종10례；쇄골골절34례、견갑골골절20례、륵골골절43례、륵연골골절5례、흉골골절11례、흉추골절17례；폐좌상49례，폐시렬상14례；기흉16례，혈흉13례，혈기흉24례；종격기종12례，종격혈종4례，주동맥손상2례，심포적액1례，격산4례；간장손상6례，비장9례，신장4례。결론다층라선CT시흉부창상검사적최가수선검사방법，재급진구조진단기중요작용。
Objective Toevaluate the value of 128-slice Spiral CT in diagnosis of thoracic trauma.. Methods 60 patients with thoracic trauma underwent rapid 128-slice Spiral CT scanning, worktstatin was applied to post-processing imaging of SSD,VR, MIP, MRP, CRP, etc. Results There 40 case of thoracic wal soft tissue injuries,10 cases of pneumatosis;34 cases of clavicularfractue, 20 cases of scapular fractures,43 cases of rib fracture, 5 cases of costal cartilage fracture, 11 cases of sternum fracture,17 cases of thoracic vertebral;49 cases of pulmonary contusion, 14 cases of pulmonary laceration; 16 cases of pneumothorax, 13 cases of homothorax, 24 cases of hemopneumothorax;; 12 cases of pneumomediastinum, 4 cases of mediastinal hematoma,2 cases of aortic injury,1case of pericardial effusion, 4 cases of diaphragmatic hernia; 6 cases of liver injury,9 cases of spleen injury, 4 cases of renal injury. Conclusion Multislice CT is the best choice for chest trauma examination method, play an important role in the emergency rescue diagnosis.