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目的探讨多层螺旋CT在胸部外伤中的诊断价值。方法对80例胸部外伤患者行螺旋CT扫描及三维重建,对图象进行回顾性分析。结果发现病变71例,大部分为复合损伤,其中肺挫伤52例,肺撕裂伤1例,肋骨骨折71例,肩胛骨骨折12例,锁骨骨折8例,胸椎骨折9例,膈肌损伤3例,胸腔积液63例,气胸22例,纵膈气肿4例,心包积液1例,皮下气肿16例。结论多层螺旋CT能对胸部外伤患者作出快速、准确的诊断,指导临床医生对患者进行及时、有效的救治,应作为胸部外伤诊断的首选方法和常规方法。
Objective To investigate the diagnostic value of multislice spiral CT in chest trauma. Methods 80 cases of thoracic trauma patients underwent spiral CT scan and three-dimensional reconstruction, the image was retrospectively analyzed. The results showed that the lesions were 71 cases, most of which were complex injuries. Among them, pulmonary contusion in 52 cases, lung laceration in 1 case, rib fracture in 71 cases, scapular fracture in 12 cases, clavicle fracture in 8 cases, thoracic fracture in 9 cases, diaphragm injury in 3 cases, 63 cases of pleural effusion, pneumothorax in 22 cases, 4 cases of mediastinal emphysema, pericardial effusion in 1 case, 16 cases of subcutaneous emphysema. Conclusions Multi-slice spiral CT can make rapid and accurate diagnosis of patients with chest trauma and guide clinicians to provide prompt and effective treatment to patients. It should be the first choice and routine method for the diagnosis of chest trauma.