中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
16期
2449-2451
,共3页
胸部外伤%肺挫伤%体层摄影术,X线计算机
胸部外傷%肺挫傷%體層攝影術,X線計算機
흉부외상%폐좌상%체층섭영술,X선계산궤
Chest trauma%Pulmonary contusion%Tomography,X-ray computed
目的 探讨胸部闭合性肺挫伤的CT表现及其诊断、随访价值.方法 回顾性分析56例肺挫伤病例的临床及影像学资料.结果 X 线检查23例,发现肺挫伤18例,5例为阴性；CT发现56例肺挫伤涉及右肺13例,左肺8例,两肺均受累35例,共计135叶肺叶受累,CT表现可分为3型,即间质型肺挫伤13例(23.2％),实质型肺挫伤31例(55.4％),混合型肺挫伤12例(21.4％),治疗后复查间质型肺挫伤1～3d病灶均完全吸收,实质型和混合型肺挫伤1周后病灶开始吸收,3周后病灶基本吸收,6例遗留纤维化病灶和胸膜粘连肥厚改变.结论 CT能早期诊断肺挫伤、了解其严重程度而且是动态追踪复查肺挫伤的最佳影像学方法,其CT分型对临床病情、病程判断有重要的指导价值.
目的 探討胸部閉閤性肺挫傷的CT錶現及其診斷、隨訪價值.方法 迴顧性分析56例肺挫傷病例的臨床及影像學資料.結果 X 線檢查23例,髮現肺挫傷18例,5例為陰性；CT髮現56例肺挫傷涉及右肺13例,左肺8例,兩肺均受纍35例,共計135葉肺葉受纍,CT錶現可分為3型,即間質型肺挫傷13例(23.2％),實質型肺挫傷31例(55.4％),混閤型肺挫傷12例(21.4％),治療後複查間質型肺挫傷1～3d病竈均完全吸收,實質型和混閤型肺挫傷1週後病竈開始吸收,3週後病竈基本吸收,6例遺留纖維化病竈和胸膜粘連肥厚改變.結論 CT能早期診斷肺挫傷、瞭解其嚴重程度而且是動態追蹤複查肺挫傷的最佳影像學方法,其CT分型對臨床病情、病程判斷有重要的指導價值.
목적 탐토흉부폐합성폐좌상적CT표현급기진단、수방개치.방법 회고성분석56례폐좌상병례적림상급영상학자료.결과 X 선검사23례,발현폐좌상18례,5례위음성；CT발현56례폐좌상섭급우폐13례,좌폐8례,량폐균수루35례,공계135협폐협수루,CT표현가분위3형,즉간질형폐좌상13례(23.2％),실질형폐좌상31례(55.4％),혼합형폐좌상12례(21.4％),치료후복사간질형폐좌상1～3d병조균완전흡수,실질형화혼합형폐좌상1주후병조개시흡수,3주후병조기본흡수,6례유류섬유화병조화흉막점련비후개변.결론 CT능조기진단폐좌상、료해기엄중정도이차시동태추종복사폐좌상적최가영상학방법,기CT분형대림상병정、병정판단유중요적지도개치.
Objective To investigate CT findings and diagnosis,follow-up value in the chest closed pulmonary contusion.Methods The clinical and imaging data of 56 patients with pulmonary contusion were retrospectively analyzed.Results 23caseswithX-raycheck,18caseswerefoundpulmonarycontusion,and five cases were negative.CT found 56 cases of pulmonary contusion involving 13 cases of the right lung,8 cases of the left lung,35 cases of both lungs involved,a total of 135 lung lobes involvement.CT performance can be divided into three types,interstitial pulmonary contusion in 13 cases(23.2％),the substance of the pulmonary contusion in 31 cases(55.4％),the mixed pulmonary contusion in 12 patients (21.4％).After treatment,interstitial pulmonary contusion lesions were completely absorbed after 1 ～ 3 days,lesions began to absorb in the substance and mixed pulmonary contusion after 1 week and absorbed completely 3 weeks after treatment.Six cases left over from fibrosis lesions and pleural adhesions hypertrophic changes.Conclusion CT is helpful for early diagnosis of pulmonary contusion,it is the best imaging method in understanding its severity and dynamic track review of pulmonary contusion,the CT classification has important guiding value in clinical conditions and duration judgment.
