X线与CT在胸部闭合性损伤诊断中的作用比较

目的：探讨X线与CT在胸部闭合性损伤诊断中的作用特点。方法：回顾性分析本院2006年6月～2010年6月分别应用X线与CT扫描96例胸部闭合性损伤患者的资料。结果：①本组CT检查显示肋骨骨折11例、胸骨骨折1例、锁骨骨折4例,胸椎骨折2例;X线片显示38例肋骨骨折、3例胸骨骨折、5例锁骨骨折,未发现有胸椎骨折病例;②CT检查发现胸部X线片未检出的单纯血胸14例、单纯气胸8例和血气胸3例;③CT检查较胸部X线片多检出创伤性湿肺4例,肺挫裂伤4例,肺不张4例,膈肌破裂1例。结论：CT检查是早期诊断肺实质性损伤的重要方法,能为临床医师提供可靠的诊断和治疗依据。

Chest X ray and CT in the diagnosis of blunt trauma compared

Objective：To study the chest X ray and CT diagnosis of blunt trauma characteristics.Methods：A retrospective analysis of our hospital from June 2006 to June 2009,respectively,during the application of X ray and CT scan of 96 cases of blunt chest injury data.Results：①The group of CT examination revealed a rib fracture,11 cases of fracture of sternum,clavicle fracture in 4 cases,3 cases of thoracic fractures;X-ray film showed 38 cases of rib fractures,3 cases of sternal fracture,5 cases of fracture,not found a thoracic fracture cases;②CT showed the 5 misdiagnosed cases,CT examination also found that chest X-ray chest were not detected in the pure blood of 14 cases,eight cases of simple pneumotho rax,three cases of pneumothorax and blood;③CT compared with chest X-ray examination detected more traumatic wet lung in 4 cases,4 cases of pulmonary contusion,atelectasis in 4 cases,1 case of diaphragmatic rupture.Conclusion：CT examination is substantial damage in the early diagnosis of lung important method for clinicians to provide a reliable basis for the diagnosis and treatment.