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目的 :探讨急性胸部创伤的CT诊断价值。方法 :对近几年收治的经CT检查明确诊断的 72 0例胸部创伤病例作回顾性总结分析。结果 :全组病例经CT检查后 ,均为临床提供了确切诊断依据 ,防止了误诊误治。结论 :通过本组病例实践 ,我们认为CT检查较X线胸片检查有诸多优越性 ,部分病例在临床尚无明显症状之前CT即可显示阳性改变 ,CT可以显示X线片不能显示的病变 ,许多CT可以区分的病变而X线平片难以鉴别。因此 ,我们认为急性胸部创伤病人的诊断应以CT检查做为主要手段 ,尤其是多部位创伤及危重病人应首选CT检查 ,可获得确切诊断 ,防止误诊误治。
Objective: To investigate the value of CT in the diagnosis of acute chest trauma. Methods: A retrospective summary analysis of 72 0 chest trauma cases diagnosed by CT in recent years was conducted. Results: All patients after CT examination, are clinically based on the exact diagnosis, to prevent misdiagnosis and mistreatment. Conclusion: Through the practice of this group of patients, we think CT examination has many advantages over X-ray examination. In some cases, CT can show positive changes before there is no obvious clinical symptoms. CT can show the lesions that X-ray can not display, Many CT can distinguish the lesion and X-ray is difficult to identify. Therefore, we believe that the diagnosis of acute chest trauma patients should be the CT examination as the main means, in particular, multi-site trauma and critically ill patients should be the preferred CT examination, access to accurate diagnosis, to prevent misdiagnosis and mistreatment.