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目的:旨在加强对急性胸部创伤的认识,提高诊断率。方法:本组140例,均有较完整临床,X线资料,对其主要X线征象从发生机理及病理基础上进行了分析和讨论。结果:本病有9种常见的X线表现,其发生率是:肺部渗出性改变70.7%(99/140),肺血肿2.8%(4/140),肺囊肿3.6%(4/140),肺不张2.1%(3/140),血气胸44.3%(62/140),气胸20%(28/140),纵隔及皮下气肿37.8%(53/140),创伤性膈疝2.1%(3/140),肋骨骨折87.9%(123/140)。结论:所有急性胸部创伤均具有一定的特征性X线表现,紧密结合临床,有助于提高诊断的准确性。
Objective: To enhance awareness of acute chest trauma and improve the diagnostic rate. Methods: The group of 140 cases, all more complete clinical, X-ray data, the main X-ray signs from the mechanism of occurrence and pathology were analyzed and discussed. Results: There were 9 common X - ray findings in this disease. The incidence of pulmonary edema was 70.7% (99/140), pulmonary hematoma 2.8% (4/140) and pulmonary cyst 3. 6% (4/140), atelectasis 2.1% (3/140), hemothorax 44.3% (62/140), pneumothorax 20% (28/140), mediastinal and subcutaneous emphysema 37.8 % (53/140), traumatic diaphragmatic hernia 2.1% (3/140), and rib fractures 87.9% (123/140). Conclusion: All acute chest trauma has some characteristic X-ray findings, closely integrated with clinical, help to improve the diagnostic accuracy.