创伤性湿肺的X线-CT诊断(附40例报道)

目的总结分析创伤性湿肺的X线和CT表现,探讨X线-CT影像学对创伤性湿肺的诊断作用.方法对40例创伤性湿肺患者的影像学表现进行了回顾性分析.全组病例均有胸部X线摄片检查,其中30例作了CT扫描检查.结果40例创伤性湿肺的影像学表现分为三型:即渗出型13例、实变型9例(其中1例肺出血实变患者后期形成血肿)、间质型18例.结论胸部X线摄片因其简单方便成为创伤性湿肺的影像学诊断的首选检查方法.对于病变的探测和显示,CT扫描优于X线摄片,因此,CT扫描是X线摄片诊断创伤性湿肺的重要补充;对已经确诊的创伤性湿肺患者,可行胸部X线摄片监测.

X-ray and CT diagnosis of traumatic wet lung (report of 40 cases)

Objective: To discuss the diagnostic value of x-ray and CT in the cases with traumatic wet lung, by summarizing and analysing the x-ray and computerized tomography (CT) manifestation. Methods: A retrospective analysis of clinical, x-ray and CT scan data of 40 patients with traumatic wet lung was made, all cases took x-ray photography and 30 cases took CT scan. Results: The imaging of 40 cases with traumatic wet lung were divided into three types including 13 exudation, 9 consolidation (1 haematoma) and 18 intersticial types. Conclusions: From these results,we can conclude that x-ray photography is a principal method of diagnostic imaging for traumatic wet lung because of its simpliness and convenience. CT scan is preferable to x-ray photography in detecting and showing the lesion, so the CT scan can make up the deficiency of the x-ray photography; for the cases with traumatic wet lung which has been diagnosed, the chest x-ray picture is useful for dynamic observation.