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目的:探讨x线对胸部急性创伤的诊断价值及特征,提高对胸部创伤的诊断。方法:回顾分析160例胸部急性创伤的临床病例资料,对x线表现进行分析和讨论。结果:胸部创伤x线上有多种表现,其中肺部渗出性病变61.25%(98/160),肺血肿3.75%(6/160),肺囊肿2.5%(4/160),肺不张2.5%(4/160),血气胸52.5%(84/160),气胸31.25%(50/160),纵隔及皮下气肿40%(64/160),创伤性隔疝2.5%(4/160),肋骨骨折86.25%(138/160)。结论:胸部急性创伤的X线表现多种多样,但均具有一定的特征性X线表现,伤后连续的X线复查并紧密结合临床,有助于提高诊断的准确性。
OBJECTIVE: To investigate the diagnostic value and characteristics of x-ray on acute chest injury and to improve the diagnosis of thoracic trauma. Methods: A retrospective analysis of 160 cases of chest trauma cases of clinical data to analyze and discuss the x-ray findings. Results: There were many manifestations of chest trauma on x-ray, including 61.25% (98/160) of pulmonary exudative lesions, 3.75% (6/160) of pulmonary hematomas, 2.5% (4/160) of pulmonary cysts, 2.5% (4/160), pneumothorax 52.5% (84/160), pneumothorax 31.25% (50/160), mediastinal and subcutaneous emphysema 40% (64/160), traumatic hernia 2.5% (4/160 ), Rib fractures 86.25% (138/160). Conclusion: There are many manifestations of acute chest thoracic X-ray findings, but all have characteristic X-ray manifestations. Continuous X-ray examination and close clinical examination are helpful to improve the diagnostic accuracy.