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目的 探讨CT及X线检查对胸部创伤的诊断价值.方法 对照分析35例胸部创伤的X线及CT表现;CT扫描均采用骨算法重建,拍照时采用两种窗位拍摄.结果X线平片检出胸廓骨折33例次,CT检出21例次;胸膜外伤平片检出16例次,CT检出35例次;肺部损伤平片检出31例次,CT检出52例次.结论 ①胸部平片仍然是胸部创伤首选检查方法.②CT分辨率高,无影相重叠,对于肺损伤的早期渗出性病变以及X线平片“盲区”极易诊断;对胸膜外伤的诊断亦明显优于平片.③有条件应尽早作CT扫描,以摄取平片不能获得的信息.为临床及时准确诊治提供依据.
Objective To investigate the diagnostic value of CT and X-ray examination in the treatment of chest trauma.Methods Thirty-five cases of chest trauma were analyzed by X-ray and CT.The CT scan was reconstructed by bone algorithm, Twenty-three cases of thoracic fractures were detected and 21 cases were detected by CT. Sixteen cases were detected by plain film, 35 cases were detected by CT, 31 cases were detected by plain lung slices, and 52 cases were detected by CT. Conclusion ① Chest radiographs are still the preferred method of chest trauma.②There is high resolution of CT and no shadow overlap, which is very easy to diagnose early exudative lesions of lung injury and “blind spot” of X-ray film. The diagnosis of pleural trauma Obviously superior to plain film.③Conditions should be made as soon as possible for CT scan, in order to take the tablet can not get the information.To provide the basis for clinical timely and accurate diagnosis and treatment.