| 钝性胸部伤早期救治中64排螺旋CT的应用 |
| |
| 引用本文： | 张连阳,姚元章,王希龙,陈蓉,王毅,张伟国,蒋耀光.钝性胸部伤早期救治中64排螺旋CT的应用[J].创伤外科杂志,2008,10(1):25-27. |
| |
| 作者姓名： | 张连阳 姚元章 王希龙 陈蓉 王毅 张伟国 蒋耀光 |
| |
| 作者单位： | 第三军医大学大坪医院野战外科研究所全军战创伤中心,重庆,400042 |
| |
| 摘 要： | 目的 探讨64排螺旋CT在钝性胸部伤早期救治中的作用.方法 回顾性分析2006年1月以来收治的170例钝性胸部伤,单纯胸部伤74例,多发伤96例,胸部伤AIS 2～4分,平均3.2分;多发伤 ISS 11～34分,平均24.6分.其中到院后3小时内64排螺旋CT检查160例,平均8分钟.结果 诊断肺挫伤117例,肺挫裂伤及肺内血肿19例,肺不张24例,血胸67例,气胸45例,血气胸52例,纵隔血肿7例,纵隔积气8例,皮下气肿25例,膈疝17例,肋骨骨折103 例,连枷胸34例.143例(84.1%)经非手术处理,其中43例行胸腔闭式引流术,22例行机械呼吸支持.紧急剖胸手术27例(15.9%).治愈161例,死亡9例(5.3%).结论 胸部钝性伤初次评价在有条件时应首选采用64排螺旋CT扫描.
|
| 关 键 词： | 胸部损伤 CT 治疗 胸部钝性伤 胸部伤 早期救治 螺旋 应用 trauma chest treatment early 扫描 条件 评价 死亡 治愈 紧急剖胸手术 呼吸支持 机械 胸腔闭式引流术 手术处理 连枷胸 |
| 文章编号： | 1009-4237(2008)01-0025-03 |
| 修稿时间： | 2007年5月23日 |
Use of 64-row multidetector computed tomography in early treatment of blunt chest trauma |
| |
| ZHANG Lian-yang,YAO Yuan-zhang,WANG Xi-long,et al..Use of 64-row multidetector computed tomography in early treatment of blunt chest trauma[J].Journal of Traumatic Surgery,2008,10(1):25-27. |
| |
| Authors: | ZHANG Lian-yang YAO Yuan-zhang WANG Xi-long |
| |
| Institution: | ZHANG Lian-yang,YAO Yuan-zhang,WANG Xi-long,et al.(Trauma Center of PLA,Daping Hospital,Institute of Surgery Research,Third Military Medical University,Chongqing 400042,China) |
| |
| Abstract: | Objective To analyze the use of computed tomography in patients with blunt chest trauma.Methods The clinical data of 170 patients with blunu chest trauma from Jan,2006 to May,2007 were analysed retrospectively.Simple chest injury and polytrauma appeared in 74 patients and 96 patients respectively.AIS of chest trauma was 2-4(average 3.2) and ISS of polytrauma was 11-34(average 24.6).CT scanning was initiated 3h after patients were admitted to hospital and the time in CT room was reduced to an average of 8min... |
| |
| Keywords: | chest trauma CT treatment |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
