地震伤75例的影像诊断分析

Imaging Features of Injuries Arising from Earthquake of Wenchuan:A Report of 75 Cases

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 accountingfor 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.