| X线平片和CT扫描对胸部创伤的诊断价值 |
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| 引用本文： | 李长启,王素凤,李坤成,.X线平片和CT扫描对胸部创伤的诊断价值[J].放射学实践,2009,24(9):1012-1016. |
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| 作者姓名： | 李长启 王素凤 李坤成 |
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| 作者单位： | 1. 北京市潮白河骨伤科医院影像科,北京,101300
2. 首都医科大学北京宣武医院影像中心,北京,100060 |
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| 摘 要： | 目的：探讨X线平片和CT对胸部创伤的临床诊断价值。方法：总结分析386例严重胸部创伤患者的影像检查,以临床诊断和影像复查为金标准,对X线平片与CT对胸部创伤的诊断价值进行对比分析。结果：386例中,胸壁骨折328例,气胸82例,血胸98例,血气胸136例,肺挫伤265例,肺撕裂伤150例,肺不张75例,支气管损伤11例,胸主动脉损伤8例,纵隔血肿9例,心包心脏损伤12例,膈肌损伤17例,创伤后呼吸窘迫综合症（ARDS）52例。X线平片分别漏诊22,22,20,22,133,72,36,4,6,9,11,17,28例,CT除17例肋骨骨折外均准确诊断。结论：X线和CT联合检查能够明确胸部创伤病变的部位、性质、程度,为临床提供可靠诊断,可监测病情演变,评价治疗效果。
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| 关 键 词： | 胸部疾病 创伤和损伤 体层摄影术 X线计算机 放射摄影术 |
Evaluation of Radiography and CT Scan in the Diagnosis of Thoracic Injury |
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| LI Chang-qi,WANG Su-feng,LI Kun-chen.Evaluation of Radiography and CT Scan in the Diagnosis of Thoracic Injury[J].Radiologic Practice,2009,24(9):1012-1016. |
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| Authors: | LI Chang-qi WANG Su-feng LI Kun-chen |
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| Institution: | LI Chang-qi,WANG Su-feng,LI Kun-chen.Department of Radiology,Beijing Chaobaihe Hospital,Beijing 101300,P.R.China |
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| Abstract: | Objective:To discuss the value of radiography and CT in the diagnosis of thoracic injury.Methods:The imaging features of 386 cases with severe thoracic injury were analyzed.Taking clinical diagnosis and results of follow-up imaging examination as the golden standard,the value of radiography and CT in the diagnosis of thoracic injury were evaluated and compared.Results:Of the 386 cases,there were fracture of the chest wall(328 cases),pneumothorax(82 cases),hemothorax(98 cases),hemo-pneumothorax(136 cases),pu... |
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| Keywords: | Thoracic diseases Wounds and injuries Tomography X-ray computed Radiogrphy |
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