【摘要】 目的 探討汶川大地震傷員胸部外傷的影像學(xué)表現(xiàn)特點。 方法 對2008年5月12日-6月21日因地震胸部外傷在我院放射科檢查的687例患者（年齡1～96歲）的臨床資料進行回顧性分析。將患者按10歲為一個年齡組劃分。所有患者均行胸部X線片檢查，38例行CT檢查。 結(jié)果 687例患者中，256例檢查結(jié)果為陽性，陽性率為37.26%。年齡以30~79歲年齡組為主。在陽性傷員中，98例（38.28%）為多系統(tǒng)多發(fā)傷，159例（62.11%）為多種類型胸部傷同時存在，肋骨骨折198例（約77.34%），肺挫裂傷49例(約19.14%)。 結(jié)論 本組地震傷員多系統(tǒng)多發(fā)傷、多類型胸部傷常見，肋骨骨折及肺挫裂傷為主要損傷表現(xiàn)。影像學(xué)檢查有助于胸部外傷的及時和準確診斷。
【Abstract】 Objective To explore the imaging features of thoracic trauma in patients injured in Wenchuan earthquake. Methods The radiological data of 687 patients (aged from 1 to 96 years) with thoracic trauma who underwent radiological examinations between 12 May and 21 June 2008 were retrospectively analyzed. The patients were divided into subgroups according to the age. All patients underwent X-ray plain film examination, in whom 38 underwent CT examination. Results In 687 patients, the results of the examination were positive in 256 with a positive rate of 37.26%; the major injured patients were in the 30-79 years old group. In the patients with positive findings, 98 (38.28%) were accompanied by multi-system injuries, 159 (62.11%) were comprised of several types of thoracic trauma. There were 198 patients (about 77.34%) with rib fracture and 49 patients (19.14%) with lung contusion. Conclusions Multi-system injuries and several types of thoracic trauma are common in the patients injured in the earchquake. The main traumatic manifestations are rib facture and lung contusion. Imaging examination is very helpful in the diagnosis of thoracic trauma.
引用本文： 路濤,鄧開鴻,梁克樹. 汶川大地震傷員胸部外傷影像學(xué)表現(xiàn)分析. 華西醫(yī)學(xué), 2011, 26(4): 556-558. doi: 復(fù)制
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- 3. Costantino M, Gosselin MV, Primack SL. The ABC’s of thoracic trauma imaging[J]. Semin Roentgenol, 2006, 41(3): 209-225.
- 4. John CM. Imaging in thoracic trauma: the trauma surgeons perspectives[J]. J Thorac Imag, 2000, 15(2): 76-86.
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