胸部闭合性创伤致肺实质损伤的影像诊断  

Imaging diagnostic of blunt chest trauma induced pulmonary parenchymal damage

作　　者：黄翔静 程维高[2] 谢应朗 

机构地区：[1]雅安职业技术学院附属医院放射科,四川雅安625000 [2]四川省雅安市人民医院放射科,四川雅安625000

出　　处：《中国医药科学》2013年第13期111-112,126,共3页China Medicine And Pharmacy

摘　　要：目的探讨胸部闭合性创伤的X线、CT影像学表现,以提高诊断准确率。方法选取自2010～2012年106例胸部闭合性损伤患者的临床资料、X线及CT表现。结果通过X线及CT检查,胸部闭合性创伤致肺实质损伤多表现为复合性损伤,其中肺挫伤(创伤性湿肺)94例,肺撕裂伤6例;61例合并肋骨骨折,29例合并胸腔积液(血),21例合并液气胸,11例合并皮下软组织积气,4例合并肺血肿,2例合并肺囊肿,2例合并心包积液。结论胸部闭合性创伤早期做影像检查有利于发现病变部位、性质及损伤程度,CT检查有助于发现并发症。Objective To explore the X-ray, CT findings of blunt chest trauma, in order to improve the diagnostic accuracy rate. Methods 106 cases of blunt chest injury in patients with clinical data, X-ray and CT findings from 2010 to 2012 were retrospectively analyzed. Resuits By X-ray and CT examination, pulmonary parenchyma injuryblunt by chest trauma caused showed complex injuries, including 94 cases of pulmonary contusion （traumatic wet lung）, 6 cases of lung laceration. Among them,61 cases with rib fractures, 29 cases with pleural effusion （blood）, 21 cases with pneumothorax, 11 cases with soft tissue product gas, 4 cases with pulmonary hematoma, 2 cases with lung cysts and 2 cases with pericardial effusion. Conclusion Early blunt chest trauma imaging is helpful to find the lesion site, the nature and extent of damage, CT is helpful to find complications.

关 键 词：胸部创伤 肺实质损伤 影像诊断 

分 类 号：R655.3[医药卫生—外科学]