多发伤患者CT肺功能成像的临床应用研究  

Clinical Application of CT Lung Function Imaging in Multiple Trauma Patients

作　　者：张洋[1] 赵宏斌[1] 魏蔚[1] 蒋罡 孔祥飞[1] 钱传云[1] 

机构地区：[1]昆明医科大学第一附属医院急诊医学科,云南昆明650032

出　　处：《昆明医科大学学报》2014年第7期67-70,共4页Journal of Kunming Medical University

基　　金：云南省中青年学术技术带头人后备人才培养基金项目(2010CZ014)

摘　　要：目的探索CT肺功能成像对多发伤患者肺功能评估的价值.方法收集2011年1月至2012年12月,创伤后48 h内收住在昆明医科大学第一附属医院的多发伤患者共61例.其中多发伤(无肺损伤)患者10例为A组,多发伤(合并肺损伤)患者51例为B组.所有入选者均在入院当天完成CT肺功能成像检查及肺功能检查(PFT).结果 (1)对入选患者的AIS-ISS分值、体重指数和年龄3项基线资料行均衡性分析,标准化差异分别为0.0538、0.05和0.05,均小于0.1,可认为组间变量均衡性较好;(2)CT肺功能成像与PFT的数据线性相关性显著(r=0.68,F=49.88,P<0.01);(3)CT肺功能成像"M×N"值与PFT(DLco%)值,对病例分级结果差异无统计学意义(χ2=6.53,P=0.16).结论 (1)CT肺功能成像可以评估多发伤患者的肺功能;(2)通过CT肺功能成像,可以对多发伤患者肺功能进行分级.Objective To explore the value of CT pulmonary functional imaging for assessment of lung function in patients with multiple trauma. Methods We collected 61 multiple trauma patients within 48 hours after the trauma who admitted to the First Affiliated Hospital of Kunming Medical University from January 2011 to December 2012. Multiple trauma patients （without pulmonary injury） of 10 patients were selected in group A, multiple trauma patients （associated lung injury） of 51 patients were selected in group B. All patients underwent CT lung function imaging test and PFT on the day of admission. Results （1） The balanced test for AIS-ISS score, Body mass index and age of enrolled patients showed that the standardized differences respectively were 0.0538, 0.05 and 0.05, all less than 0.1, suggesting the good balance of the variables between the two groups. （2） The data of CT pulmonary functional imaging and PFT were significant correlated （r=0.68, F=49.88, P〈0.01） （3） The difference between case classification results by＂M ×N＂ value of CT pulmonary functional imaging and （DLCO%） value of PFT, was not statistically significant （ X2=6.53, P=0.16 ） . Conclusions （1） CT lung function imaging can assess the lung function of the patients with multiple trauma. （2） The lung function of multiple trauma patients can be graded by CT lung function imaging.

关 键 词：多发伤 肺挫伤 肺功能 CT肺功能成像 PFT 

分 类 号：R641[医药卫生—外科学]