烧伤爆震伤致肺损伤CT征象分析  

Analysis of CT Signs of Lung injury Caused by Burn and Blasts Injury

作　　者：王东[1] 赵俊祥[1] 

机构地区：[1]河南大学附属南阳南石医院,河南南阳473065

出　　处：《中国烧伤创疡杂志》2010年第5期360-363,共4页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的:探讨烧伤爆震伤致肺损伤的CT特征,协助临床诊断治疗。方法:回顾分析14例烧伤爆震伤致肺损伤的CT表现,对该病生理及影像学表现进行总结讨论。结果:14例患者均出现肺损伤,共累及34个肺叶,12例双肺呈斑片状影,单侧受累2例,累及双肺者均呈多叶分布,其中7例出现少量胸腔积液。结论:烧伤爆震伤易引起肺部冲击伤,从而导致肺损伤,临床治疗应注意肺功能的维持,保持气道通畅,在条件允许情况下应尽早行胸部CT检查。Objective： To explore CT manifestations features of lung injury caused by burn and blast injury so as to assist clinical diagnosis and treatment. Method： CT signs of 14 cases of lung injury caused by burn and blast injury were analyzed retrospectively. Then, physiological and imaging manifestations were summarized and discussed. Results： All Of 14 patients were founded lung injury, which involved in 34 lobes of lung. Of 14 cases, 12 showed patchy shadow of multi- ple lobes of bilateral lungs, 7 cases in which appeared a small amount of pleural effusion. The rest 2 cases appeared unilateral lung injury. Conclusions： Burn and blast injury often causes blast injury in lung, that results in lung injury. It is necessary to maintain normal lung function, to keep airway patency and to follow A, B and C resuscitation protocols during chnical treatment of lung injury.

关 键 词：烧伤 爆震伤 肺损伤 体层摄影术 X线计算机 

分 类 号：R644[医药卫生—外科学] R563[医药卫生—临床医学]