233例胸部创伤的X线分析

本文对２３３例胸部创伤患者的Ｘ线表现进行了分析。其中钝挫伤１４０例，刀刺伤９３例。钝挫伤中肋骨骨折，特别是多根肋骨骨折和肺挫伤多见，刀刺伤以血气胸为多。结合文献讨论了肺挫伤和创伤性湿肺的发生及其病理基础，发现肺挫伤多发生在直接致伤部位，伤后立即出现；创伤性湿肺一般出现较晚，且多不在直接致伤处。注意到延迟性血气胸在胸部创伤中的临床意义。

Roentgenographic Appearances of Chest Injury :Analysis in 233 Cases

Roentgenographic appearaces of chest injury were analysed in 233 cases in this paper.Thisseries consisted of 140 cases of obtuse contusion and 93 cases of sharp wounds.Fracture of rib,especially mul-tiple ones,and pulmonary contusion were common in obtuse contusion,while hemopneumothorax commonlyoccurred in sharp penetrating cases.pathogenesis of pulmonary contusion and traumatic wet lung were dis-cussed.The result showed that pulmonary contusion usually appeared immediately below the site of injury ,while traumatic wet lung often appeared later,and might not right below the blow.The author emphasized theclinical significance of delayed hemopneumothorax.