多层螺旋CT对胸部创伤的诊断价值

Uinical value of multislice spiral CT scanning for diagnosis of thoracic trauma

目的 探讨多层螺旋CT对胸部创伤的诊断价值. 方法 对151例行多层螺旋CT检查的胸部外伤患者资料进行回顾性分析. 结果 肺损伤139例,包括创伤性湿肺52例,肺挫伤94例,肺撕裂伤28例,气管支气管损伤7例;肺外损伤108例,包括胸膜损伤83例（血胸27例,气胸32例,血气胸24例）,纵隔损伤9例（纵隔积气6例,积血4例,外伤性膈疝2例）,胸壁损伤76例（肋骨骨折59例,胸骨骨折18例,肋软骨损伤5例）;锁骨及肩胛骨骨折31例. 结论 多层螺旋CT作为胸部创伤诊断的主要手段,具有扫描范围广、速度快、敏感性高的特点,在胸部创伤患者的抢救过程中具有至关重要的作用.

Objective To investigate the diagnostic value of Multislice CT scanning in patients with acute thoracic trauma. Methods 151 patients with chest wound admitted after Multislice CT scanning were reviewed and analyzed. Results This group of 151 patients with chest wound after X-ray and CT inspection were as follows：lungs were damaged in 139 cases including 52 cases with traumatic wet lung,94 cases with lung rip,28 cases with lacerated wound and 7 cases with tracheal bronchial tube damage.Damages outside the lungs were found in 108 patients including 83 patients with trauma in pleural membrane（hemothorax 27 cases,pneumothorax 32 cases and blood pneumothorax 24 cases）,mediastinum damage in 9 cases（vertical mediastinal pneumatosis 6 cases,hematocele 4 cases and traumatic disphragmatic hernia 2 cases）,thoracic wall damage in 76 cases（rib bone fracture 59 cases,breast bone fracture 18 cases and costal cartilages damage 5 cases）.Clavicle and scapula fracture in 31 cases. Conclusion Multislice CT scanning was principal method for the diagnosis of chest wound,it had the advantages of scanning range,quick scanning and characteristics of high sensitivity,and it would certainly play a vital role in first aid process in emergency medical treatment of wound.