胸部创伤X线检查的有关几个问题探讨  

Further Analysis of Thoracic Trauma on X-ray Examination

作　　者：王志纯[1] 张德昌[1] 马贵[1] 李世红[1] 李士建[1] 艾书跃[1] 舒卒[1] 

机构地区：[1]解放军第414医院放射科,江苏南京210015

出　　处：《临床军医杂志》2003年第3期67-68,共2页Clinical Journal of Medical Officers

摘　　要：目的　合理的采用检查手段使患者及早明确诊断。方法　将本院 1998年 7月— 2 0 0 2年 10月 5 16例胸部创伤进行X线检查的病人 ,分为 3组。A组 :单纯平片检查 372例 ;B组 :平片加CT检查 82例 ;C组 :平片结合透视下点片检查 6 2例。结果　A组 :肋骨骨折 2 12例、血气胸 92例、肺挫伤 85例 ;B组 :平片显示肋骨骨折 5 5例、血气胸 2 6例、肺挫伤 2 5例、CT显示肋骨骨折 5 6例、血气胸 31例、肺挫伤 4 1例、肝脏包膜下出血 1例、脾脏挫伤 3例 (其中 1例包膜下出血 ) ,其他部位骨折 7例 ,还有纵隔及横膈受损 2例 ;C组 :肋骨骨折 5 8例、血气胸 4例、肺挫伤 1例。结论　透视下点片可采用不同的体位进行检查 ,有利于骨折的显示提高确诊率 ;CT检查不受部位厚薄及多组织结构重迭的影响 ,有利于伤情较重。Objective To diagnose definitely with rational examination.Methods 516 cases of thoracic trauma were analyzed from july 1998 to Octoer 2002,which were divided into three groups.Group A (372 cases) was only given with X ray plain finm examination and additionally group, B (82 cases) with CT scan and group C (62 cases) with radiograph under fluoroscopy.Results In gyoup A.fractrues of libs were found in 212 cases.hemopneumothorax in 92 cases,and contusion of lung in 55 cases.In gyoup B,fractrues of libs were found in 55 cases.hemopnemothorax in 26 cases,and contusion of lung in 25 cases on X ray plain film,and under CT scan,they were found respectivly in 56,31 and cases,and haemorrhage in envelope of liver was found in 1 cases,and contusions of spleen were found in 3 cases (one of them, was haemorrhage in envelope),fractrues of non lib in 7 cases,and injur of midriff and mediastinum in 2 cases.In group C,they were found respectivly in 58,4 and 1 case.Conclusion Diagnosis ratio of fractrues is promoted in radiograph under fluoroscopy .Without the influence of place and superpositition of more structures and organisations.CT scan is good for early diagnos of is those who are in severe states.

关 键 词：胸部创伤 X线检查 诊断 CT检查 肋骨骨折 

分 类 号：R655[医药卫生—外科学] R816.4[医药卫生—临床医学]