胸部创伤X线及CT诊断评价  

Diagnostic evaluation of X - ray and CT examination in chest trauma

作　　者：成明富[1] 吴玉玲[1] 张季明[1] 麻方法 

机构地区：[1]解放军第123医院CT室,安徽蚌埠233015 [2]海军士官学校门诊部,安徽蚌埠233012

出　　处：《淮海医药》1999年第3期10-11,共2页Journal of Huaihai Medicine

摘　　要：目的 探讨CT及X线检查对胸部创伤的诊断价值.方法 对照分析35例胸部创伤的X线及CT表现;CT扫描均采用骨算法重建,拍照时采用两种窗位拍摄.结果X线平片检出胸廓骨折33例次,CT检出21例次;胸膜外伤平片检出16例次,CT检出35例次;肺部损伤平片检出31例次,CT检出52例次.结论 ①胸部平片仍然是胸部创伤首选检查方法.②CT分辨率高,无影相重叠,对于肺损伤的早期渗出性病变以及X线平片“盲区”极易诊断;对胸膜外伤的诊断亦明显优于平片.③有条件应尽早作CT扫描,以摄取平片不能获得的信息.为临床及时准确诊治提供依据.Objective To make comments on the clinical practicality of X - ray and CT in diagnosing a variety of chest trauma. Methods Each X -ray photograph of chest was analysed and compared separately with CT scan in 35 patients with chest trauma. Results Rib fracture of 33 cases were shown on X -ray film and of 21 on CT film. Pleura injury of 16 cases were found by X - ray and of 35, by CT. Pumonary damage of 31 cases were identified on X -ray and of 52, on CT. Conclusion X -ray examination should be firstly recommended for chest trauma. CT is more helpful to diagnose early exudative focus of lung damage and the pleura injury for having the advantage of higher distinct ration and non -overlapping sign.

关 键 词：检出 平片 胸部创伤 CT 诊断 X线 胸膜外 结论 准确 信息 

分 类 号：R655[医药卫生—外科学] R816[医药卫生—临床医学]