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目的 探讨CT对创伤性湿肺诊断及鉴别诊断的价值。方法 回顾性分析了 5 1例创伤性湿肺病人的CT资料 ,观察其CT征象。结果 CT表现为 :(1)肺血管影增浓、增粗、模糊 15例 ;(2 )肺实质内散在斑点状、小片状稍高密度灶 2 4例 ;(3)呈磨砂玻璃改变的云雾状稍高密度灶 (即“面纱征”) 19例 ;(4)大片状或呈叶、段分布的高密度灶 2 0例。结论 CT可为创伤性湿肺早期诊断、制定治疗方案及观察疗效提供可靠依据。
Objective To investigate the value of CT in the diagnosis and differential diagnosis of traumatic wet lung. Methods The CT data of 51 patients with traumatic wet lung were analyzed retrospectively to observe the CT signs. Results The CT findings were as follows: (1) Pulmonary angiography showed thickening, thickening and vagueness in 15 cases; (2) speckles scattered in the lung parenchyma and slight high density foci in 24 cases; (3) 19 cases of cloudy high density stove (ie “veil sign”); (4) 20 cases of large density or high density stove with leaves and sections. Conclusion CT can provide a reliable basis for the early diagnosis of traumatic wet lung, the development of treatment options and the observation of curative effect.