213例汶川大地震伤员放射学检查分析

Analysis of the Radiological Feature of the 213 Traumatic Patients in Wenchuan Earthquake

目的分析汶川大地震伤员的放射学表现特点。方法收集2008年5.12汶川大地震发生后至5月31日间213例地震伤员的完整放射学资料,着重分析伤员的X线、CT、MRI检查的影像学表现特点。结果 213例中,同时行X线、CT、MRI检查10例(5%),X线、MRI检查7例(3%),X线、CT检查9例(4%),仅行CT检查5例(2%),仅行X线检查182例(85%)。MRI检查17例(8%)中,同时行胸椎和腰椎检查2例、颈椎和胸椎1例,颈椎1例,膝关节2例,上腹部1例,骨盆1例,腰椎9例;CT检查24例(11%)中,头部9例,胸部6例,腹部1例,脊柱6例,骨盆2例;X线检查208例中,单部位检查64例(31%),多部位检查144例(69%),仅有软组织受伤38例(18%),单纯肺挫伤6例(3%),骨折164例(79%)。结论地震伤员影像学检查以常规X线为主,头颅、五官受伤者首选CT,CT、MRI检查作为胸部、脊柱、关节等部位的补充检查。地震伤员以单纯性骨折为主,骨折合并脏器外伤较少。

Objective To explore the radiological features of the traumatic patients in Wenchuan Earthquake. Methods Two hundred and thirteen patients wounded in Wenchuan earthquake were collected from May 12 to May 31 in 2008,and their X-ray,CT,and MRI results were analyzed retrospectively. Results Ten of all patients （5%） were examined by X-ray,CT,and MRI,seven patients （3%） by X-ray and MRI,and nine patients （4%） by X-ray and CT. And 182 patients （85%） were only examined by X-ray.Among the 17 patients examined by MRI,two patients were examined for thoracic and lumbar vertebra,one for thoracic and cervical vertebra,one for cervical vertebra,two for knee joint,one for abdomen,one for pelvis,and nine for lumbar vertebra.Among the 24 patients examined by CT,nine patients were examined for head,six patients for chest,one patients for abdomen,six patients for vertebra,and two patients for pelvis.Among the 208 patients examined by X-ray,single section was performed in 64 patients （31%）,and multiple section in 144 patients （69%）; 38 patients （18%） had only soft tissue injuries,6 had only lung injuries,and 164 patients had fractures. Conclusion Traumatic patients in earthquake would be primarily given routine X-ray check. The patients with cephalic and facial injuries may choose CT firstly. CT and MRI might be supplementary examinations for chest,vertebra and joint injuries. Most of traumatic patients in earthquake have simple fracture,and the fewer have combined visceral injury.