放射医学在特大地震伤员诊治中的应用价值

Clinical application of radiation Medicine in diagnosis and treatment of injury at Wenchuan Earthquake

目的探讨放射医学在特大地震伤员诊治中的应用价值。方法对汶川特大地震收治的192例伤员中的155例伤员的影像及临床资料进行分析。结果155例中135例行X线平片检查,43例行CT检查,同时行X线平片、CT检查23例,共116例发现骨折。单发骨折62例,多发骨折54例,开放性骨折11例,闭合性骨折105例,关节脱位3例,其中32例有多部位损伤。颅骨骨折3例,脊柱压缩性骨折7例,爆裂样骨折3例,骨盆骨折13例,肋骨、锁骨骨折26例,肩胛骨骨折2例,四肢骨折73例,肺挫裂伤5例,气胸及液气胸8例,颅内硬膜外血肿2例,脑挫裂伤2例,脾挫裂伤1例,骨折以四肢骨折多见。结论X线、CT检查在地震伤员诊断、治疗方案的选择及预后评估中具有重要价值。

Objective To study the applied value of radiation medicine in diagnosis and treatment of injury at Wenchuan Earthquake. Methods The imaging and clinical data of 155 patients of 192 patients in Wenchuan earthquake were retrospectively studied. Results 155 patients of 192 patients underwent X-ray plain film and CT examination. There were 116 cases with bone fracture, including single fracture （62 cases）, multiple fracture （54 cases）, compound fracture （11 cases） closed fracture （105 cases）, dislocation of joint （3 cases）, multiple region injuries（32 cases）, skull fracture （3 cases）, vertebral compression fracture （7 cases）, vertebral bursting fracture （3 cases）, pelvic fracture （13 cases）,rib and clavicle fracture （26 cases）, shoulder blade fracture （2 cases） and limb bone fracture （73 cases）. There were 5 cases with contusion of lung, 8 cases with pneumothorax and hydro-pneumothorax, 2 cases with epidural hematoma, 2 cases with contusion and laceration of brain,1 case with contusion of spleen. Conclusion X-ray plain film and CT examination can play an imp ortant role in diagnosis of earthquake-related injuries.