胸部创伤的CT诊断

CT diagnosis of chest trauma

目的:探讨CT对胸部创伤的诊断价值。方法:回顾性分析36例胸部创伤的CT表现。结果:肺挫伤26例,创伤性湿肺6例,肺血肿2例,肺囊肿1例,肺不张及肺萎陷4例,气胸或血气胸14例,皮下气肿和纵隔气肿10例,胸腹联合伤4例,其中脾破裂2例,肝破裂1例,肝及十二直肠破裂1例,合并其他损伤包括颅脑损伤10例,胸椎骨折5例,肋骨骨折14例,锁骨骨折1例,肩胛骨骨折1例,股骨干骨折1例。结论:CT能明确创伤部位、性质、程度,敏感性及特异性高于X线平片,是胸部创伤重要的检查方法,为临床诊断及治疗提供可靠的依据。

Objective To investigate the CT value in diagnosing chest trauma .Method36cases with chest trauma were stud-ied with CT and analyzed retrospectively.Results On CT,contrusion of the lung were found in26cases,traumatic wet lung in6cases,hematoma of lung in2cases,cyst of lung in1cases,atelectasis and collaps of lung in4cases,pneumothorax or hemothorax in14cases,subcutaneous and mediastinal emphysema 10,chest and abdomen trauma 10cases,including splenic rupture2,hepatorrexis1,liver and duodenum trauma 1case,and other trauma :including thoracic vertebral fracture5,ribs fracture14,clavicular fracture1,frac-ture of scapula2.Conclusion CT can correctly make the diagnosis of position,character and degree of traumatic lesions,CT has high sensitivity and specificity than X-ray films ,it is important method for the diagnosis of chest trauma ,and provide reliable information for clinical diagnosis and treatment.