放射学实践
放射學實踐
방사학실천
RADIOLOGIC PRACTICE
2014年
10期
1177-1179
,共3页
胸部损伤%闭合性%体层摄影术,X 线计算机
胸部損傷%閉閤性%體層攝影術,X 線計算機
흉부손상%폐합성%체층섭영술,X 선계산궤
Thoracic injuries%Closed%Tomography,X-ray computed
目的：探讨 CT 对迟发性胸部损伤的诊断及动态变化，为临床及时准确治疗提供诊断依据。方法：回顾分析110例迟发性胸部损伤的 CT 和临床资料，对其 CT 表现及动态变化等进行分析。结果：迟发性胸部损伤大都于伤后24～48 h 内发生，其中肺挫伤93例，单纯气胸3例；气胸合并血胸2例；单纯出现血胸12例；肺挫伤伴发迟发性血胸69例，伴发率高达74％（69/93）。迟发性肺挫伤大多发生在右肺，占72．04％（67/93）；发生在下叶的迟发性肺挫伤又比上叶明显多见，占76．34％（71/93）。结论：CT 不仅能及时发现迟发性胸部损伤，还能对发生的部位、性质、损伤程度、并发症、预后等做出及时判断，为临床及时准确治疗提供诊断依据。应将伤后48h CT 复查列为常规。迟发性胸部损伤不易完全吸收，易遗留肺纤维化及胸膜增厚、粘连。
目的：探討 CT 對遲髮性胸部損傷的診斷及動態變化，為臨床及時準確治療提供診斷依據。方法：迴顧分析110例遲髮性胸部損傷的 CT 和臨床資料，對其 CT 錶現及動態變化等進行分析。結果：遲髮性胸部損傷大都于傷後24～48 h 內髮生，其中肺挫傷93例，單純氣胸3例；氣胸閤併血胸2例；單純齣現血胸12例；肺挫傷伴髮遲髮性血胸69例，伴髮率高達74％（69/93）。遲髮性肺挫傷大多髮生在右肺，佔72．04％（67/93）；髮生在下葉的遲髮性肺挫傷又比上葉明顯多見，佔76．34％（71/93）。結論：CT 不僅能及時髮現遲髮性胸部損傷，還能對髮生的部位、性質、損傷程度、併髮癥、預後等做齣及時判斷，為臨床及時準確治療提供診斷依據。應將傷後48h CT 複查列為常規。遲髮性胸部損傷不易完全吸收，易遺留肺纖維化及胸膜增厚、粘連。
목적：탐토 CT 대지발성흉부손상적진단급동태변화，위림상급시준학치료제공진단의거。방법：회고분석110례지발성흉부손상적 CT 화림상자료，대기 CT 표현급동태변화등진행분석。결과：지발성흉부손상대도우상후24～48 h 내발생，기중폐좌상93례，단순기흉3례；기흉합병혈흉2례；단순출현혈흉12례；폐좌상반발지발성혈흉69례，반발솔고체74％（69/93）。지발성폐좌상대다발생재우폐，점72．04％（67/93）；발생재하협적지발성폐좌상우비상협명현다견，점76．34％（71/93）。결론：CT 불부능급시발현지발성흉부손상，환능대발생적부위、성질、손상정도、병발증、예후등주출급시판단，위림상급시준학치료제공진단의거。응장상후48h CT 복사렬위상규。지발성흉부손상불역완전흡수，역유류폐섬유화급흉막증후、점련。
Objective:To study the value of CT in the diagnosis of delayed thoracic trauma and follow-up changes,in order to provide accurate basis for clinical treatment.Methods:The clinical and CT materials of 110 cases with delayed tho-racic trauma were retrospectively analyzed,the CT manifestations and the dynamic changes were studied.Results:Delayed thoracic trauma mostly occurred within 24~48h after injury,including pulmonary contusion (93 cases),simple pneumotho-rax (3 cases);pneumothorax in combination with hemothorax (2 cases);simple hemothorax (12 cases);pulmonary contu-sion accompanied with delayed hemothorax (69 cases),with the incidence rate up to 74% (69/93 cases).The delayed pul-monary contusion mostly occured in the right lung,accounted for 72.04% (67/93 cases);delayed pulmonary contusion oc-curred in the lower lobe were much more than that in the upper lobe,accounted for 76.34% (71/93 cases).Conclusion:CT scan can not only find out delayed thoracic trauma lesions,but also can precisely evaluate the position,pattern,degree of in-jury,complication as well as prognosis prediction,which provides diagnosis evidence for treatment timely and accurately.CT scanning 48h after trauma should be performed as a routinely practice.Lesions of delayed thoracic trauma can not be com-pletely absorbed,pulmonary fibrosis,pleural thickening and adhesion are sequela commonly seen.
