胸部地震伤的影像诊断价值
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摘要
目的探讨胸部地震伤的影像诊断价值。方法回顾性分析30例胸部地震伤的影像学及临床资料,30例患者均行X线平片检查,11例行CT检查,3例行MRI检查。结果影像学检查均能明确诊断,30例患者均为复合伤,其中肋骨骨折18例,胸椎骨折8例,肩胛骨骨折3例,锁骨骨折3例,胸骨骨折1例,胸壁软组织伤5例,肺挫裂伤5例,肺内血肿1例,肺部感染4例,气胸及液气胸6例,双侧胸腔积液1例,发生肺不张1例。结论影像学检查有利于胸部地震伤的及时准确诊断和治疗方式的选择。
Objective To explore the clinical value of imaging diagnosis of thoracic injury in earthquake.Methods 30 cases of the thoracic injury in earthquake with clinical and imaging data were analyzed retrospectively.All of the cases were performed X-ray plain film examination,CT in 11 cases and MRI in 3 cases.Results Imaging examination can establish definitive diagnosis in all cases.All of the 30 cases were the combined injury.The fracture of rib was found in 18 cases,thoracic vertebral fracture in 11 cases,fracture of shoulder blade in 3 cases,fracture of clavicle in 3 cases,fracture of sternum in 1 case,soft tissue injury of chest wall in 5 case,contusion of lung in 5 cases,hematoma of lung in 1 case,pulmonary infection in 4 cases,pneumatothorax and hydropneumothorax in 6 cases,pleural effussion in 1 case and atelectasisin 1 case.Conclusion Imaging examination is the most valuable examination method in diagnosis of thoracic injury in earthquake,and it can not only make definitive diagnosis,but also play an important role in selection of therapeutic planning.
Objective To explore the clinical value of imaging diagnosis of thoracic injury in earthquake.Methods 30 cases of the thoracic injury in earthquake with clinical and imaging data were analyzed retrospectively.All of the cases were performed X-ray plain film examination,CT in 11 cases and MRI in 3 cases.Results Imaging examination can establish definitive diagnosis in all cases.All of the 30 cases were the combined injury.The fracture of rib was found in 18 cases,thoracic vertebral fracture in 11 cases,fracture of shoulder blade in 3 cases,fracture of clavicle in 3 cases,fracture of sternum in 1 case,soft tissue injury of chest wall in 5 case,contusion of lung in 5 cases,hematoma of lung in 1 case,pulmonary infection in 4 cases,pneumatothorax and hydropneumothorax in 6 cases,pleural effussion in 1 case and atelectasisin 1 case.Conclusion Imaging examination is the most valuable examination method in diagnosis of thoracic injury in earthquake,and it can not only make definitive diagnosis,but also play an important role in selection of therapeutic planning.
引文
[1]戚跃勇,邹利光,张冬,等.地震伤的影像诊断价值[J].中国急救医学,2008,28(11):987.
[2]刘庆,侯世科,郑静晨,等.援外地震救援中流动医院危重患者救治分析[J].武警医学,2006,17(10):786.
[3]Wu J,Sheng L,Ma Y,et al.The analysis of risk factors ofimpacting mortality rate in severe multiple trauma patientswith posttraumatic acute respiratory distress syndrome[J].Am J Emerg Med,2008,26(4):419.
[4]戚跃勇.10例车祸伤肺部X线误诊分析[J].实用医学杂志,1999,15(1):69.
[5]Gryth D,Rocksén D,Persson J K,et al.Severe lung contu-sion and death after high-velocity behind-armor blunt trau-ma:relation to protection level[J].Mil Med,2007,172(10):1110.
[2]刘庆,侯世科,郑静晨,等.援外地震救援中流动医院危重患者救治分析[J].武警医学,2006,17(10):786.
[3]Wu J,Sheng L,Ma Y,et al.The analysis of risk factors ofimpacting mortality rate in severe multiple trauma patientswith posttraumatic acute respiratory distress syndrome[J].Am J Emerg Med,2008,26(4):419.
[4]戚跃勇.10例车祸伤肺部X线误诊分析[J].实用医学杂志,1999,15(1):69.
[5]Gryth D,Rocksén D,Persson J K,et al.Severe lung contu-sion and death after high-velocity behind-armor blunt trau-ma:relation to protection level[J].Mil Med,2007,172(10):1110.
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