摘要
目的:探讨X线及CT对胸部创伤的诊断价值及特征。方法:对100例胸部创伤患者的X线和CT影像学表现进行分析比较。结果:胸部创伤常见的影像学表现有渗出性病变、胸腔积血、单纯肋骨骨折或骨折并发气胸、纵膈及皮下积气、肺血肿、肺囊肿、肺不张、胸腔脏器损伤、合并腹腔脏器损伤、创伤性膈疝等。结论:胸部创伤X线检查因快捷方便和经济,成为首选的检查项目;CT检查因可早期发现轻度肺实质改变及细微变化,尤其是对早期的成人呼吸窘迫综合征(ARDS)等急重症的诊断率高,成为胸部创伤检查的最优检查手段。
Objective：The value and character of diagnosis discussed between X ray and CT in chest trauma.Methods：To compare 100 cases imaging of X ray and CT in chest trauma.Results：The imaging showed there were exudation,fracture only and pneumothorax together,pneumaderma,hemothorax,haematocele,atelectasis,lung bruise and viscera bruise together,diaphragmatic hernia,atc.Conclusion：X ray is principal check-up in chest trauma because it is easy and economical;CT is the best way in chest trauma because it can find-out small change,it is exact of diagnosis such as acute respiratory distress syndrome（ARDS）.
