严重胸部创伤43例X线平片及CT诊断分析

目的：探讨严重胸部创伤的X线平片及CT诊断价值和优势。方法：对43例严重胸部创伤病例从临床、X线平片及CT扫描诊断进行回顾性分析。结果：严重胸部创伤表现有骨折、肺部损伤及其他合并损伤，以肋骨骨折、肺挫伤、血气胸为最常见。X线平片对胸部全貌、肋骨骨折数目及错位情况优于CT扫描，CT扫描对肺挫伤、肺撕裂伤及膈肌损伤、胸骨骨折的诊断具有很大优势，能提高检出率。结论：严重胸部创伤者X线平片检查简单快捷，应为首选的常规检查，而CT敏感性高，能明确非骨骼创伤的部位、性质、程度，对伤势较重的复合伤者能为临床快速明确诊断及治疗提供更多的信息和可靠的依据，应尽可能实施急诊CT检查。

Analysis of 43 cases of severe thoracic trauma X-ray film and CT diagnosis

Objective： To investigate the diagnostic value and advantage of X- ray film and CT in severe thoracic trauma. Methods： 43 patients with severe thoracic trauma cases from the clinical, X - ray and CT scan in the diagnosis were retrospectively analyzed. Results： The severe thoracic trauma have usually shown in fracture,lung injury and other combined injury, the rib fractures, pulmonary contusion and hemopneumothorax were the most familiar. X - ray film of the chest, rib fractures dislocation of the number and superior to CT scan, CT scan of the lung contusion, lung laceration and diaphragmatic injury, the diagnosis of sternum fracture has great advantages, can improve the detection rate. Conclusion： Severe thoracic trauma X - ray inspection quick and easy, should be the preferred routine examination, while the high sensitivity of CT, can clearly the site of non - skeletal trauma, nature, extent. Seriously injured victims of the compound for clinical diagnosis and treaunent quickly to provide more information and reliable basis as far as possible the implementation of emergency CT - scan.