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目的提高对肺挫伤及肺撕裂伤的认识和诊断水平,减少误诊与漏诊。方法本文收集了我院2010年1月-2014年1月经DR及/或CT检查资料较完整的50例胸背部创伤病例。全部病例均行胸部正位或正斜位拍片及/或CT检查。结果本组50例胸部外病例中,其中肺挫伤11例,肺内血肿2例,肺血气囊肿和/或气囊肿2例。结论肺挫伤影像表现与肺炎相似,但吸收较快,一般2-3天可吸收,最慢者1-2周内可完全吸收,肺血肿或肺血气囊肿需与肺肿瘤、肺结核球、肺脓肿、先天性肺气液囊肿相鉴别。结合病史并定期复查鉴别一般不难。[3]
Objective To improve the understanding and diagnosis of pulmonary contusion and laceration of lung, and to reduce misdiagnosis and missed diagnosis. Methods This study collected 50 cases of thoracolumbar trauma patients with complete DR and / or CT data from January 2010 to January 2014 in our hospital. All patients underwent chest or anterior oblique filming and / or CT examination. Results In this group of 50 cases of extrathoracic cases, including pulmonary contusion in 11 cases, 2 cases of pulmonary hematoma, pulmonary blood cyst and / or cyst in 2 cases. Conclusions The images of pulmonary contusion are similar to those of pneumonia. However, they are absorbed rapidly and are generally absorbed within 2-3 days. The slowest absorption can be completely absorbed within 1-2 weeks. Pulmonary hematoma or pulmonary cyst should be related to lung tumor, pulmonary tuberculosis, lung abscess , Congenital lung gas cyst phase identification. Combination of medical history and regular review of identification is not difficult. [3]