急诊复合创伤性湿肺患者多排螺旋CT的临床表现

Clinical Manifestations of Multi-slice Spiral CT in Emergency Patients with Combined Traumatic Wet Lung

目的:总结急诊复合创伤性湿肺患者多排螺旋CT的临床表现。方法:回顾性分析我院急诊科2019年1月-2020年12月收治的80例急诊复合创伤性湿肺患者临床资料,所有患者均接受X线诊断、多排螺旋CT诊断,以手术结果为参照,对比两种检查方法诊断符合率、敏感度、特异度、阳性预测值、阴性预测值差异并总结多排螺旋CT的临床表现。结果:以手术结果为参照,多排螺旋CT诊断符合率93.75%、敏感度90.00%、特异度96.00%、阳性预测值93.10%、阴性预测值94.12%,均高于X线诊断的80.00%、73.33%、84.00%、73.33%、84.00%,差异有统计学意义(P<0.05);80例患者多排螺旋CT临床表现包括间质型13例、云雾型17例、弥漫实变型27例、节段实变型23例4种。结论:多排螺旋CT能够进一步提高急诊复合创伤性湿肺患者诊断结果准确性。

Objective:To summarize the clinical manifestations of multi-slice spiral CT in emergency patients with combined traumatic wet lung.Methods:A retrospective analysis of the clinical data of 80 emergency patients with combined traumatic wet lung admitted to the emergency department of our hospital from January 2019 to December 2020.All patients received X-ray diagnosis and multi-slice spiral CT diagnosis,based on the surgical results,Compare the diagnosis coincidence rate,sensitivity,specificity,positive predictive value,negative predictive value of the two inspection methods,and summarize the clinical manifestations of multi-slice spiral CT.Results:Based on the surgical results,the diagnostic coincidence rate of multi-slice spiral CT was 93.75%,the sensitivity was 90.00%,the specificity was 96.00%,the positive predictive value was 93.10%,and the negative predictive value was 94.12%,which were all higher than the 80.00%and 73.33%of X-ray diagnosis,84.00%,73.33%,84.00%,the difference was statistically significant(P<0.05);the clinical manifestations of 80 cases of emergency combined traumatic wet lung patients with multi-slice spiral CT included 13 cases of interstitial type,17 cases of cloud type,diffuse There were 27 cases of consolidation type and 23 cases of segmental consolidation type.Conclusion:Multi-slice spiral CT can further improve the accuracy of the diagnosis of emergency patients with combined traumatic wet lung,and the manifestations include 4 types of interstitial,cloudy,diffuse consolidation,and segmental consolidation.