多排螺旋CT在创伤性湿肺急诊诊断中价值研究

The Value Study Multi-slice Spiral CT in the Diagnostic of Traumatic Wet Lung in Emergency

目的探讨多排螺旋CT在创伤性湿肺急诊诊断中临床价值,为胸部外伤患者急救诊治提供准确的影像信息。方法对我科2011年3月—2012年4月46例创伤性湿肺患者CT影像特征及其动态变化进行回顾性分析。结果创伤性湿肺多见于两中、下肺野,多数患者肺间质和实质同时出现异常影像。肺间质表现为肺血管增浓、增粗、模糊不清;肺实质表现为大小不等的斑点状、小片状、大片状不规则较均匀密度的云絮影;也有按照解剖学特点以肺叶、肺段分布的高密度实变影,这些影像均可有不同时期的影像特征变化。结论螺旋CT能快速、直观地显示创伤性湿肺患者的影像特点,为外伤性患者的临床诊疗带来极大的便利;同时,对患者的治疗监测也同样起到积极的意义。

Objective To investigate the clinical value of multi-slice spiral CT in the diagnosis of traumatic wet lung in emergency,provide accurate image information for thoracic trauma first-aid treatment.Methods In our department from March 2011 to April 2012,46 cases of traumatic wet lung imaging characteristics and dynamic changes in patients with CT were retrospectively analyzed.Results The traumatic wet lung in two,lower lung field,the majority of patients with pulmonary interstitial and essence and abnormal image.Interstitial pulmonary manifestations of pulmonary vascular thickening,thickening,blurred;Pulmonary parenchymal manifestations ranging from the size of the spots,small patchy,irregular flakes with uniform density cloud patchy shadow;There were also in accordance with the anatomic characteristics in high density lobar,segmental distribution of opacities,these images may change imaging features in different periods.Conclusion Spiral CT can display the imaging features of patients with traumatic wet lung fast,intuitive,and brings great convenience for clinical diagnosis and treatment of patients with trauma;At the same time,for the treatment of monitoring patients also play a positive significance.