中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
36期
146-146,148
,共2页
胸部创伤%CT诊断%应用价值
胸部創傷%CT診斷%應用價值
흉부창상%CT진단%응용개치
Chest trauma%CT diagnosis%Application value
目的：探讨CT在诊断胸部创伤中的应用价值。方法：2012年1月-2014年9月收治胸部创伤患者90例，致伤原因：交通事故30例(33.3%)，建筑物高空坠落10例(11.1%)，殴打伤28例(31.1%)，挤压伤18例(20.0%)，其他4例(4.4%)。所有患者均采用螺旋CT检查。结果：诊断为创伤性湿肺60例(66.7%)，患者主要表现为病变均为多发，小点状、小片状、斑点状模糊影，病变多为磨玻璃影，似一层薄纱覆盖肺野。本组90例患者发现肋骨骨折88例(97.8%)，多发性骨折64例，胸骨骨折67例(74.4%)，胸椎骨折39例(43.3%)。发生胸膜损伤86例(95.6%)，其中表现为气胸52例，血气胸34例，发生肺挫裂伤78例(86.7%)。诊断纵膈气肿24例，主要表现为纵膈气肿及胸壁皮下软组织内积气。结论：CT在诊断胸部创伤具有分辨率高，显像清晰，患者无痛苦，诊断符合率高等优点，值得临床推广。
目的：探討CT在診斷胸部創傷中的應用價值。方法：2012年1月-2014年9月收治胸部創傷患者90例，緻傷原因：交通事故30例(33.3%)，建築物高空墜落10例(11.1%)，毆打傷28例(31.1%)，擠壓傷18例(20.0%)，其他4例(4.4%)。所有患者均採用螺鏇CT檢查。結果：診斷為創傷性濕肺60例(66.7%)，患者主要錶現為病變均為多髮，小點狀、小片狀、斑點狀模糊影，病變多為磨玻璃影，似一層薄紗覆蓋肺野。本組90例患者髮現肋骨骨摺88例(97.8%)，多髮性骨摺64例，胸骨骨摺67例(74.4%)，胸椎骨摺39例(43.3%)。髮生胸膜損傷86例(95.6%)，其中錶現為氣胸52例，血氣胸34例，髮生肺挫裂傷78例(86.7%)。診斷縱膈氣腫24例，主要錶現為縱膈氣腫及胸壁皮下軟組織內積氣。結論：CT在診斷胸部創傷具有分辨率高，顯像清晰，患者無痛苦，診斷符閤率高等優點，值得臨床推廣。
목적：탐토CT재진단흉부창상중적응용개치。방법：2012년1월-2014년9월수치흉부창상환자90례，치상원인：교통사고30례(33.3%)，건축물고공추락10례(11.1%)，구타상28례(31.1%)，제압상18례(20.0%)，기타4례(4.4%)。소유환자균채용라선CT검사。결과：진단위창상성습폐60례(66.7%)，환자주요표현위병변균위다발，소점상、소편상、반점상모호영，병변다위마파리영，사일층박사복개폐야。본조90례환자발현륵골골절88례(97.8%)，다발성골절64례，흉골골절67례(74.4%)，흉추골절39례(43.3%)。발생흉막손상86례(95.6%)，기중표현위기흉52례，혈기흉34례，발생폐좌렬상78례(86.7%)。진단종격기종24례，주요표현위종격기종급흉벽피하연조직내적기。결론：CT재진단흉부창상구유분변솔고，현상청석，환자무통고，진단부합솔고등우점，치득림상추엄。
Objective:To explore the application value of CT in diagnosis of chest trauma.Methods:90 patients with chest trauma were selected from January 2012 to September 2014.The cause of injury including:30 cases with traffic accident,accounting for 33.3%;10 cases were falled from the buildings,accounting for 11.1%;28 cases were injury by beating,accounting for 31.1%;18 cases were crush injury,accounting for 20%;4 cases with other injury,accounting for 4.4%.All patients were examined by spiral CT. Results:60 cases were diagnosised as traumatic wet lung,accounting for 66.7%;the patients mainly manifested:multiple lesions, small punctate,patchy,small punctate opacities,and the lesions were ground glass shadow,like a layer of gauze covered lung field. Among those 90 patients in this group,there were 88 cases with rib fracture,accounting for 97.8%;64 cases with multiple fractures and 67 cases with sternum fracture,accounting for 74.4%;39 cases with thoracic vertebral fracture,accounting for 43.3%.86 cases with pleura injury,accounted for 95.6%,in which there were 52 cases with pneumothorax,and 34 cases with hemothorax,78 cases occurred pulmonary contusion,accounting for 86.7% .24 cases were diagnosised as mediastinal emphysema,mainly for the pneumomediastinum and subcutaneous chest wall soft tissue product gas.Conclusion:CT has the advantages of high resolution, clear imaging and no pain in the diagnosis of chest trauma,and also has higher diagnostic rate,so it is worthy of clinical promotion.
