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目的总结常规胸部X线片和CT扫描对驾驶员胸部外伤的诊断价值,寻找伤情轻重的直接原因。方法回顾性分析2006年1月-2011年10月收治的85例因车祸至胸部外伤的驾驶员的临床资料,均采用X线片和CT扫描进行检查,并研究分析其影像学特征。结果 85例患者中,均有皮肤软组织挫伤,不同程度肋骨骨折65例,肺损伤并血气胸48例,皮下气肿42例,胸膜伤24例,创伤湿肺22例,纵隔外伤18例,肺不张15例;伴发脑损伤32例,椎体骨折23例。在肋骨骨折的诊断上,X线片可较好地反映肋骨骨折数目及错位情况,与CT扫描比较,检出率高;另一方面,CT扫描对肺损伤的诊断较X线片具有较大优势。结论 X线片与CT扫描在胸部外伤的检查中可以取长补短,二者结合诊断能有效地降低疾病漏诊率。
Objective To summarize the diagnostic value of routine chest X-ray and CT scan on the driver’s chest injury and find out the direct cause of the severity of the injury. Methods The clinical data of 85 drivers who had car accident to chest trauma admitted from January 2006 to October 2011 were retrospectively analyzed by X-ray and CT scan, and their imaging features were analyzed. Results 85 patients had contusions of the skin and soft tissue, 65 cases of rib fracture, 48 cases of pneumothorax and pneumothorax, 42 cases of subcutaneous emphysema, 24 cases of pleural injury, 22 cases of trauma and wet lung, 18 cases of mediastinal trauma, Atelectasis in 15 cases; accompanied by brain injury in 32 cases, 23 cases of vertebral fractures. In the diagnosis of rib fractures, X-ray can better reflect the number of rib fractures and dislocation, compared with the CT scan, the detection rate is high; the other hand, CT scan lung injury diagnosis than X-ray film has a larger Advantage. Conclusion X-ray and CT scan can learn from each other in the examination of chest trauma. The combination of both can effectively reduce the rate of misdiagnosis of the disease.