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胸部创伤的X线-CT诊断(附69例分析) 被引量:89

X ray and CT diagnosis of chest injury: analysis of 69 cases
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摘要 目的探讨闭合性及开放性胸部创伤的CT表现及诊断价值。材料与方法笔者对69例胸部创伤患者进行临床、X线平片、CT扫描诊断,对X线平片与CT片进行了对比分析。结果CT表现为肺挫伤51例,肺撕裂伤12例,X线平片分别漏、误诊21例和7例。结论CT能明确创伤病变的部位、性质、程度,敏感性和特异性高,为临床诊断及处理提供较单纯X线平片更多的信息及可靠的依据,为胸部创伤最重要的检查方法之一。 Purpose To discuss CT appearance and diagnostic value of closed and open chest injury. Materials and methods Sixty nine cases of chest injury were diagnosed by clinical, chest radiography and CT chest films were compared with CT. Results CT scans showed that contusion of the lung was in 51 cases, laceration 12, and others coalition injury. The missed diagnosis of chest radiography were 21 cases and 7 cases, respectively. Conclusion Position, character and degree of traumatic lesions were definitely diagnosed by CT. CT scans have high sensitivity and specificity. CT can provide more information and evidence to clinical diagnosis and treatment than X Ray. So it is the most important method in the diagnosis of traumatic chest.
出处 《中华放射学杂志》 CAS CSCD 北大核心 1998年第3期179-181,共3页 Chinese Journal of Radiology
关键词 胸部损伤 CT 诊断 X线平片 Thoracic injuries Tomography, X ray computed Radiography
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参考文献4

  • 1时万潮,实用放射学杂志,1991年,7期,272页
  • 2蒋佩明,创伤杂志,1989年,5期,110页
  • 3张明文,胸心血管外科杂志,1985年,1期,214页
  • 4杨鸿斌,中华放射学杂志,1981年,15卷,258页

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