胸部创伤的CT及X线平片诊断结果的评价

【目的】探讨CT及X平片在胸部外伤诊断中的价值和地位。【方法】73例胸部外伤病例均行X线平片及CT检查。【结果】X平片发现肺挫伤3l例，肺撕裂伤6例，支气管撕裂伤2例，肺不张及肺萎陷8例；CT发现肺挫伤57例，肺撕裂伤14例，支气管撕裂伤2例，肺不张及肺萎陷14例。【结论】X线平片是胸部外伤的首选检查方法，对于严重胸部创伤、复合伤的患者，应采用CT检查。

Evaluation on the diagnosis of chest injury with CY and plain film

Objective] To evaluate the value and situation of CT and plain film in the diagnosis of traumatic chest injury. Methods] A total of 73 cases of traumatic chest injury were observed by CT and plain chest film. Results] 31 cases of contusion of lung, 7 cases of laceration of lung, 2 cases of laceration of bronchus and 8 cases of atelectasis and collapse of lung were observed by plain film. In CT scanning, 57 cases of contusion of lung, 14 cases of laceration of lung, 2 cases of laceration of bronchus and 14 cases of atelectasis and collapse of lung were observed. Conclusions] Plain film is the first choice in the diagnosis of chest injury. However, in cases of severe traumatic chest injury or compound injury, CT examination is advised.