胸部创伤的CT表现及其临床价值(附45例报告)

CT Manifestation of Chest Trauma and the Valueof Clinical Application

目的评价CT在胸部创伤的CT表现及其临床价值。方法回顾性分析45例胸部创伤病人的CT表现。结果单纯肋骨骨折12例,气胸12例,纵隔血肿和纵隔气肿分别为1例、3例,胸腔积血28例,肺挫裂伤30例,肺撕裂伤15例,支气管撕裂2例。CT表现为肋骨骨折,气胸,纵隔血肿和纵隔气肿,胸腔积血及肺挫伤等。同时发现脾、肝、肾脏、腰椎多发性损伤。结论CT扫描对胸部损伤诊断价值高,是快速、准确评价胸部损伤的影像学诊断方法。

Objective To evaluate the CT manifestation and clinical value in patients with chest trauma. Methods 45 cases with chest trauma examined by CT scanning were retrospectively analyzed. Results There were 12 cases with rib fractures, 12 cases with pneumothorax, 1 ease with pneumomediastinum, 3 cases with mediastinal hematoma, 28 cases with thoracic hemorrhage, 30 cases with pulmonary contusion, 15 cases with pulmonary laceration, 2 cases with bronchial tear, respectively. CT showed rib fractures, pneumothorax, and mediastinal hematoma and mediastinal emphysema, the chest, such as blood and lung contusion. At the same time, spleen, liver, kidney and lumbar spine injuries in multiple could be shown. Conclusion CT scanning has high diagnostic value in patients with chest injuries, and is a rapid, accurate method for o diagnosis of chest injuries.