CT对外伤性隐性胸膜肺损伤的诊断价值  

Diagnostic value of computed tomography in traumatic occult pleuropulmonary lesions

作　　者：钱新初 唐肇普[2] 刘三军 

机构地区：[1]解放军第四五七医院影像诊断科,武汉430012 [2]第三军医大学附属大坪医院野战外科研究所影像诊断科,重庆400042

出　　处：《中华创伤杂志》2005年第6期404-406,共3页Chinese Journal of Trauma

摘　　要：目的探讨外伤性隐性胸膜肺损伤的CT表现,评价CT检查的诊断价值。方法回顾性分析68例外伤性隐性胸膜肺损伤的X线平片、CT检查结果和临床治疗情况。结果68例常规X线胸片均未能检出隐性胸膜肺损伤,CT检出气胸32例、血胸24例和肺出血12例。根据CT诊断结果,采用对症处理治愈55例(81%),胸穿处理治愈9例(13%),胸腔闭式引流处理治愈4例(6%)。结论相对于常规X线胸片检查,CT对于外伤性隐性胸膜肺损伤的诊断有极其重要的临床意义。Objective To explore the manifestations of computed tomography (CT) for traumatic occult pleuropulmonary lesions (TOPL) and evaluate the diagnostic value of CT. Methods Sixty-eight patients with TOPL were selected as the object of this study. A retrospective analysis was done on conventional chest X-ray film and CT examination results and clinical therapy. Results Conventional chest X-ray films failed to display any signs of traumatic lesions of pleura and lungs. Chest CT scans found out 32 cases of minor pneumothorax, 24 hemathorax and 12 focal pneumorrhagia in small areas. Based on CT findings, the patients were dealt with supportive and conservative treatment (55 cases, 81%), thoracentesis (9 cases, 13%) and closed thoracic drainage (4 cases, 6%). Conclusion Compared to conventional chest X-ray films, CT plays a critical role in diagnosis of TOPL.

关 键 词：诊断价值 肺损伤 外伤性 胸膜 隐性 胸腔闭式引流 X线胸片检查 回顾性分析 CT表现 CT检查 X线平片 治疗情况 检查结果 CT检出 诊断结果 对症处理 临床意义 肺出血 治愈 

分 类 号：R816.4[医药卫生—放射医学]