论文部分内容阅读
目的探讨螺旋 CT 在胸部外伤中的诊断价值。方法对本院临床疑有病变的86例胸部外伤患者进行螺旋 CT 扫描、诊断,并与胸部数字摄影(CR)片进行对比分析。结果 86例患者多层螺旋 CT 扫描均为阳性,其中发现肺挫伤62例,伴肺部血肿3例,支气管撕裂伤1例,膈肌损伤4例,心包积液1例,胸腔积液71例,气胸25例,CR 片阴性23例,误诊5例,漏诊7例。结论多层螺旋 CT 能弥补胸部 CR 片的不足,对胸部外伤患者作出最快速、准确的诊断,已成为胸部外伤最重要的检查方法之一。
Objective To investigate the diagnostic value of spiral CT in chest trauma. Methods Totally 86 cases of suspected thoracic trauma patients in our hospital were diagnosed by spiral CT and compared with chest digital radiography (CR). Results The CT scan of 86 patients was positive. Among them, 62 cases of pulmonary contusion, 3 cases of pulmonary hematoma, 1 case of bronchial laceration, 4 cases of diaphragm injury, 1 case of pericardial effusion, 71 cases of pleural effusion , 25 cases of pneumothorax, 23 cases of CR negative, misdiagnosis in 5 cases, missed diagnosis in 7 cases. Conclusion Multi-slice spiral CT can make up for the lack of chest radiographs and make the fastest and accurate diagnosis of chest trauma patients. It has become one of the most important examination methods of chest trauma.