青海玉树地震胸部损伤的影像学表现及其相关临床特点分析

英文篇名：Imaging findings and clinical features of Crushing-chest Injuries in Yushu Earthquake in Qinghai Province
中文刊名：高原医学杂志
英文刊名：Journal of High Altitude Medicine
作者：张志进 ; 唐桂波 ; 李江涛 ; 何晓芬 ; 张明 ; 宋卫国 ; 更尕松宝
英文作者：Zhang Zhijin1 ; Tang Guibo1 ; Li Jiangtao1 ; He Xiaofen1 ; Zhang Ming1 ; Song Weiguo1 ; Gengga Songbao2 1 Qinghai Provincial People's Hospital(810007) 2 Yushu State People's Hospital(815000)
中文关键词：胸部损伤 ; 高海拔地震 ; 体层摄影术 ; X线计算机
英文关键词：Chest injury ; High-altitude ; Earthquake ; Tomograghy ; X-ray
出版日期：2012-06-20
机构：青海省人民医院影像科;青海省玉树州人民医院放射科;
年：2012
期：02
出版单位：高原医学杂志

摘要

目的:着重从影像学的角度探讨2010年4月14日青海玉树大地震中胸部压砸伤伤员胸部损伤的影像学特征与高海拔地震的关系,以及对临床急救手术的意义。方法:对地震发生后4月14日—4月23日陆续送至青海省人民医院治疗,因地震致有胸部损伤史的130名伤员行胸部X线及CT检查,对其中阳性的63名伤员的影像学特征、临床资料进行回顾性分析。结果:130名伤员中,63名检查结果为阳性,阳性率为48.5%,37例(28.5%)为多系统多发伤,33例(25.4%)为多种类型胸部伤同时存在,其中胸廓骨折54例(85.7%),胸膜损伤56例(88.9%),肺损伤54例(85.7%),肺内合并症37例(58.7%),肺外合并症35例(55.6%)。结论:青海玉树地震患者胸部损伤范围广,合并症多,临床症状重,与震区建筑、地理环境以及高海拔独特的气候关系密切,掌握影像学特征对临床急救手术具有重要指导意义。
Objective:To deal with imaging and clinical feature of crushing –chest injuries in Yushu earthquake in Qinghai province and determine how perform the emergency surgery treatment at high altitude.Methods:Materials of 130 wounded,who were set to our hospital from Yushu earthquake and underwent x-ray and CT examination 10 days after the earthquake,were reviewed.of them 63 had positive imaging findings and were selected in this study,and the positive imaging characteristics and clinical data were analyzed retrospectively.Results:63 of 130 wounded had imaging results;the positive rate was 48.5%.37 cases(28.5%) for multi-system injuries,33 cases(25.4%) of chest trauma for many types,including thoracic fractures in 54 cases(85.7%),pleural injury in 56 cases(88.9%),lung injury in 54 cases(85.7%),lungs complications in 37 cases(58.7%),extra-pulmonary complications of 35 cases(55.6%).Conclusions: The results suggest that the wounded from Yushu earthquake have wide scope of crushing-chest injuries,more complications and clinical symptoms.The features could closely relate to the geographic altitude and atmosphere of Yushu.Imaging characteristics play an importance role for clinical emergency surgery.

引文

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