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肋骨骨折的诊断流程和方法
引用本文:吴伟清,张亿星. 肋骨骨折的诊断流程和方法[J]. 临床和实验医学杂志, 2010, 9(8): 600-601
作者姓名:吴伟清  张亿星
作者单位:广州市中医医院放射科,广东,广州,510130
摘    要:目的总结肋骨骨折的影像诊断方法及流程,以减少漏诊。方法对我院2007年10月至2009年5月100例肋骨骨折患者进行回顾性分析,利用胸部转位透视、胸部X线摄片检查及胸部CT检查。结果单纯行胸部正位检查发现肋骨骨折40例,胸部转位透视加摄片明确肋骨骨折诊断90例,对临床症状明显而X线检查阴性者进一步做CT检查,明确肋骨骨折4例,但发现肺部挫裂伤5例,气胸3例,液气胸3例,胸腔积液5例。结论胸部外伤肋骨骨折诊断要结合临床体征,采取胸部转位透视加摄片,必要时做胸部CT的规范影像检查流程以减少肋骨骨折的漏诊。

关 键 词:胸部外伤  肋骨骨折  影像检查  流程

Flow chart of standard imaging examination for diagnosis of rib fracture
WU Wei-qing,ZHANG Yi-xing. Flow chart of standard imaging examination for diagnosis of rib fracture[J]. Journal of Clinical and Experimental Medicine, 2010, 9(8): 600-601
Authors:WU Wei-qing  ZHANG Yi-xing
Affiliation:WU Wei-qing,ZHANG Yi-xing.Department of Radiology,Chinese Medicine Hospital of Guangzhou,Guangzhou Guangzhou 510130,China
Abstract:Objective To evaluate the experience in diagnosis of rib fracture with X-ray examination and CT scanning.Methods The chest X-ray films and CT scanning of 100 patients with rib fracture in this hospital during October,2007 to May,2009 were retrospectively reviewed and analyzed.Results Forty patients with rib fracture were diagnosed by chest X-ray films,90 patients with rib fracture were diagnosed by fluoroscopy in addition with X-ray films.Those with significant clinical symptoms but lacking positive manifes...
Keywords:Chest traumatic  Rib fracture  Imaging examination  Programme  
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