创伤性湿肺的CT诊断

目的：探讨CT对创伤性湿肺的诊断价值。方法：回顾性分析经临床及影像学检查确诊的创伤性湿肺68例CT表现特点及动态变化。结果：病变累及一侧肺27例,累及两侧肺41例,累及多个肺叶者54例。CT表现呈支气管束征阳性、小片状磨玻璃影、大片实变影、肺气囊及肺不张等多种影像改变。常伴有肋骨、四肢骨骨折及脑、内脏复合损伤。肺内渗出性病变吸收迅速,肺内血肿吸收缓慢。结论：CT检查在创伤性湿肺的诊断及评价损伤方面具有重要价值,是首选的影像检查方法。

The Study of Traumatic Moist Lung Diagnosed by CT

Objective： To discuss the value of CT in diagnosing the traumatic moist lung.Method： The CT features and dynamic variations were retrospectively analyzed in 68 cases with the traumatic moist lung proved by clinical and imaging examination.Result： In 68 cases,the lesion involved one lung in 27 cases,both lungs in 41 cases,more lobars in 54 cases.The CT signs included vary imaging feature,e.g bronchogenic sign,pulmonary consolidation,alveolar sac and pulmonary atelectasis etc.,and merging diaphysis or rib fracture and brain or internal organ complex injury,The absorbed of exudation lesion rapid,and the hematoma of lungs more slow.Conclusion： CT examine is a primary medical imaging method in the diagnosis of the traumatic moist lung and evaluation in the field of contusion area.