中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2014年
9期
20-21
,共2页
CT检查%X线检查%胸部闭合性损伤%对比观察
CT檢查%X線檢查%胸部閉閤性損傷%對比觀察
CT검사%X선검사%흉부폐합성손상%대비관찰
CT examination%X -ray examination%chest blunt trauma%comparative study
目的：探讨C T检查和X线检查诊断胸部闭合性损伤的特点，为临床诊断方法的选择提供科学依据。方法：对我院2008年2月～2013年2月间收治胸部闭合性损伤患者57例病情回顾性分析，比较患者CT检查和X线检查诊断结果差异。结果：X线检查发现肋骨骨折21例，胸骨骨折6例，锁骨骨折3例，胸椎骨折2例，而C T检查发现肋骨骨折14例，胸骨骨折2例，锁骨骨折1例，发现胸椎骨折5例，单纯椎弓骨折2例，一侧胸锁关节脱位2例；C T和X线共同检出血胸14例，气胸12例、血气胸8例，而X线漏诊、CT确诊的血胸7例，气胸4例、血气胸3例；CT和X线共同检出创伤性湿肺3例、肺不张3例，肺挫裂伤1例，C T检出X线漏检的创伤性湿肺5例、肺不张2例，肺挫裂伤3例、纵膈血肿4例，纵膈气肿1例。结论：胸部X检查对于肋骨、胸骨、锁骨骨折敏感，但对胸椎、纵膈损伤的判断不如C T检查。同时，C T检查纵膈、肺实质损伤明显优于X线，两者互有利弊，临床上将两者科学结合是确保诊断准确的有效办法。
目的：探討C T檢查和X線檢查診斷胸部閉閤性損傷的特點，為臨床診斷方法的選擇提供科學依據。方法：對我院2008年2月～2013年2月間收治胸部閉閤性損傷患者57例病情迴顧性分析，比較患者CT檢查和X線檢查診斷結果差異。結果：X線檢查髮現肋骨骨摺21例，胸骨骨摺6例，鎖骨骨摺3例，胸椎骨摺2例，而C T檢查髮現肋骨骨摺14例，胸骨骨摺2例，鎖骨骨摺1例，髮現胸椎骨摺5例，單純椎弓骨摺2例，一側胸鎖關節脫位2例；C T和X線共同檢齣血胸14例，氣胸12例、血氣胸8例，而X線漏診、CT確診的血胸7例，氣胸4例、血氣胸3例；CT和X線共同檢齣創傷性濕肺3例、肺不張3例，肺挫裂傷1例，C T檢齣X線漏檢的創傷性濕肺5例、肺不張2例，肺挫裂傷3例、縱膈血腫4例，縱膈氣腫1例。結論：胸部X檢查對于肋骨、胸骨、鎖骨骨摺敏感，但對胸椎、縱膈損傷的判斷不如C T檢查。同時，C T檢查縱膈、肺實質損傷明顯優于X線，兩者互有利弊，臨床上將兩者科學結閤是確保診斷準確的有效辦法。
목적：탐토C T검사화X선검사진단흉부폐합성손상적특점，위림상진단방법적선택제공과학의거。방법：대아원2008년2월～2013년2월간수치흉부폐합성손상환자57례병정회고성분석，비교환자CT검사화X선검사진단결과차이。결과：X선검사발현륵골골절21례，흉골골절6례，쇄골골절3례，흉추골절2례，이C T검사발현륵골골절14례，흉골골절2례，쇄골골절1례，발현흉추골절5례，단순추궁골절2례，일측흉쇄관절탈위2례；C T화X선공동검출혈흉14례，기흉12례、혈기흉8례，이X선루진、CT학진적혈흉7례，기흉4례、혈기흉3례；CT화X선공동검출창상성습폐3례、폐불장3례，폐좌렬상1례，C T검출X선루검적창상성습폐5례、폐불장2례，폐좌렬상3례、종격혈종4례，종격기종1례。결론：흉부X검사대우륵골、흉골、쇄골골절민감，단대흉추、종격손상적판단불여C T검사。동시，C T검사종격、폐실질손상명현우우X선，량자호유리폐，림상상장량자과학결합시학보진단준학적유효판법。
Objective : To investigate the CT examination and chest X-ray diagnosis of blunt trauma characteristics, choose to provide clinical diagnostic methods give a scientific basis. Methods: Hospital between February 2008 - February 2013 blunt trauma patients admitted to the chest retrospective analysis of 57 cases of the disease , compared with patients CT scan and X-ray diagnosis differences. Result: X -ray examination revealed 21 cases of rib fractures , sternal fracture in 6 cases , 3 cases of clavicle fractures , but CT detected 14 cases of rib fractures , sternal fracture two cases , one case of clavicular fractures , thoracic found 7 cases of vertebral fractures ; CT and chest X-ray jointly seized 14 cases of hemorrhage , pneumothorax in 12 cases, 8 cases of pneumothorax , but missed the X-ray , CT confirmed seven cases of hemothorax , pneumothorax four cases , hemopneumothorax three cases ; CT and X-ray detection of common traumatic wet lung in 3 cases, 3 cases of atelectasis , pulmonary contusion one case , CT detected five cases of traumatic wet lung X-ray undetected , two cases of atelectasis , pulmonary contusion three cases . Conclusions: Chest X examination for the ribs, sternum , clavicle fracture sensitive, but not as good as on thoracic CT scan to determine . Meanwhile , CT examination of lung parenchymal injury significantly better than the X-ray , the two sides have pros and cons , clinical science wil be a combination of both is to ensure accurate diagnosis and effective way .
