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胸部外伤的CT诊断价值 被引量:9

Evaluation of CT Scanning in Diagnosing Thoracic Trauma
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摘要 目的:探讨CT检查在胸部外伤的应用价值。材料与方法:搜集我院近年来94例胸部外伤后均在早期做了普通胸片及CT扫描二项检查的病人的影像诊断结果进行对比,以层厚10mm、层距10mm进行平扫,部分兴趣区以层厚5mm扫描。结果:CT扫描可以及时诊断平片不能发现的轻微肺挫伤、少量气胸、纵隔少量积气、少量胸腔积液(血)、隐匿性肋骨骨折(包括肋软骨骨折)、心包少量积血(液)及被掩盖的病变。结论:CT在胸部外伤的诊断中对损伤程度的判断有重要的实用价值,可为临床正确、及时处理及判断预后提供可靠而必需的资料。 Purpose:To discuss the diagnostic value of coputed tomography in thoracic trauma.Materials and Methods:In observation of 94 cases,comparing x-ray examination with CT scanning,which is carried out with 10mm thick slice and a slice distance of 10mm,partly of 5mm on patients chest after trauma.Results:Computed tomography scanning,instead of x-ray examination,can discover some covered pathological changes,such as slight thoracic trauma,pneumothorax,and pneumatosis in mediastinum,rib fracture.Conclusion:CT scanning is uesful of deciding the taaumatic level of thoracic trauma,can provide reliable and necessary data for clinical treatment and prognosis.
出处 《现代医用影像学》 2009年第6期344-345,389,共3页 Modern Medical Imageology
关键词 胸部外伤 CT 诊断价值 Thoracic trauma CT Diagnose evaluation
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  • 1刘金丰.胸部创伤的X线和CT影像对比研究[J].中国医学影像学杂志,2002,10(1):19-20. 被引量:9
  • 2邹子英,冯道安,林建忠.200例肺挫伤X线影像分析[J].实用放射学杂志,1989,5(2):82-83. 被引量:10
  • 3Einsiedel T,Liener U,Binkmann A,et al.Fatal outcome after multiple trauma.The thoracic injury as the decisive factor.Unfallchirurg.2003,106(9)771-776.
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