地震伤75例的影像诊断分析
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摘要
目的探讨汶川大地震所致人体损伤情况及其影像特点。方法回顾分析75例汶川大地震震伤的影像学及临床资料,并按损伤部位分别统计。结果75例患者均行X线平片检查,21例行CT检查,19例行MRI检查。75例地震伤患者中,通过影像学检查,共查出伤部136个。四肢骨折39例,共计骨折72个部位,上肢13个部位,占总数的9.56%,下肢59个部位,占总数的43.39%。头颅地震伤9例,共13个部位,占总数的9.56%。脊椎地震伤12例,共累及21个椎体,占总数的15.44%。胸部地震伤13例,共计骨折30处,占总数的20.05%。结论地震伤涉及全身多部位、多个器官;影像检查有助于地震伤员的筛查及分类治疗。
Objective To explore the imaging features of the injuries arising from the earthquake of Wenchuan, Sichuan.Methods Seventy-five patients who survived the earthquake but suffered from the injuries were retrospectively analyzed. Results All the patients underwent X-ray plain film examination, and some of them were performed CT (n=21) or MRI (n=19). According to the examination, 136 regions of injury were found, including 39 cases of limb bone fracture (72 fracture regions: 13 regions in upper limbs accounting for 9.56%, 59 regions in lower limbs accounting for 43.39%), 9 cases of head injuries (13 regions accounting for 9.56%), 12 cases of spine injuries involving a total of 21 vertebrae (15.44%), and 13 cases of chest injuries (30 fracture regions accounting for 20.05%). Conclusion Injuries associated with earthquake involve most parts of the body. Imaging examination, as screening technique for injuries caused by the earthquake, is very useful.
Objective To explore the imaging features of the injuries arising from the earthquake of Wenchuan, Sichuan.Methods Seventy-five patients who survived the earthquake but suffered from the injuries were retrospectively analyzed. Results All the patients underwent X-ray plain film examination, and some of them were performed CT (n=21) or MRI (n=19). According to the examination, 136 regions of injury were found, including 39 cases of limb bone fracture (72 fracture regions: 13 regions in upper limbs accounting for 9.56%, 59 regions in lower limbs accounting for 43.39%), 9 cases of head injuries (13 regions accounting for 9.56%), 12 cases of spine injuries involving a total of 21 vertebrae (15.44%), and 13 cases of chest injuries (30 fracture regions accounting for 20.05%). Conclusion Injuries associated with earthquake involve most parts of the body. Imaging examination, as screening technique for injuries caused by the earthquake, is very useful.
引文
[1]吴恩惠.医学影像学[M].第5版.北京:人民卫生出版社,2003:5.
[2]Naghi TM,Kambiz K,Shahriar TM,et al.Musculosketal injuries associated with earthquake:a report of injuries of Iran’s Decem-ber26,2003Bam earthquake casualties managed in teriary refer-ral centers[J].Injury,2005,36(1):27-32.
[3]席梅,侯建盛,刘爱兵.国际地震救援行动中的医疗力量配置分析[J].灾害学,2007,22(4):138-142.
[4]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):786-788.
[5]戚跃勇,邹利光,张冬,等.143例地震伤影像诊断特点[J].第三军医大学学报,2008,30(22):1952-1954.
[6]Montavon C,Krause E,Holzgreve W,et al.Uterine gas gangrene through clostridium perfringens sepsis afret uterus rupture postpar-tum[J].Z Geburtshife Neonatol,2005,209(5):167-172.
[7]戚跃勇,陈轶,陈林,等.腰椎峡部裂MSCT双倾斜重建技术的诊断价值[J].医学影像学杂志,2007,17(9):967-970.
[8]Lozano-Calderon S,Blazar P,Zurakowski D,et al.Diagnosis of scaphoid fracture displacement with radiography and computed tomography[J].J Bone Joint Surg Am,2006,88(12):2695-2703.
[9]Chan PN,Antonio GE,Griffith JF,et al.Computed tomography for cervical spine trauma.The impact of MDCT on fracture detection and dose deposition[J].Emerg Radiol,2005,11(5):286-290.
[2]Naghi TM,Kambiz K,Shahriar TM,et al.Musculosketal injuries associated with earthquake:a report of injuries of Iran’s Decem-ber26,2003Bam earthquake casualties managed in teriary refer-ral centers[J].Injury,2005,36(1):27-32.
[3]席梅,侯建盛,刘爱兵.国际地震救援行动中的医疗力量配置分析[J].灾害学,2007,22(4):138-142.
[4]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):786-788.
[5]戚跃勇,邹利光,张冬,等.143例地震伤影像诊断特点[J].第三军医大学学报,2008,30(22):1952-1954.
[6]Montavon C,Krause E,Holzgreve W,et al.Uterine gas gangrene through clostridium perfringens sepsis afret uterus rupture postpar-tum[J].Z Geburtshife Neonatol,2005,209(5):167-172.
[7]戚跃勇,陈轶,陈林,等.腰椎峡部裂MSCT双倾斜重建技术的诊断价值[J].医学影像学杂志,2007,17(9):967-970.
[8]Lozano-Calderon S,Blazar P,Zurakowski D,et al.Diagnosis of scaphoid fracture displacement with radiography and computed tomography[J].J Bone Joint Surg Am,2006,88(12):2695-2703.
[9]Chan PN,Antonio GE,Griffith JF,et al.Computed tomography for cervical spine trauma.The impact of MDCT on fracture detection and dose deposition[J].Emerg Radiol,2005,11(5):286-290.
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