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目的:探讨64层螺旋CT在急性肺挫伤诊断中的应用价值。方法:收集临床怀疑肺挫伤患者461例,所有患者于入院后1 h内行64层螺旋CT胸部平扫,判断有无肺挫伤。结果:诊断肺挫伤113例,双肺广泛性挫伤12例,右肺挫伤61例,左肺挫伤40例;肺不张22例;合并气胸33例,其中血气胸10例;肋骨骨折38例,锁骨骨折4例,肩胛骨骨折2例,胸椎骨折2例,胸骨骨折1例;皮下气肿87例,纵膈积气11例,纵膈血肿3例。结论:64层螺旋CT能有效诊断肺挫伤,尤其对影像学征象较隐蔽的病变更具优势。
Abstract：Objective: To explore the clinical application of 64-MS CT to acute pulmonary contusion.Methods: A retrospective study was undertaken in 461 cases who were doubted acute pulmonary clinically.They were received CT scan within one hour.Results: 113 cases were diagnosed acute pulmonay contusion including 12 cases with wide-bound pulmonary contusion in pulmones,61 cases with right lung,40 cases with left lung,22 cases with pulmonary atelectasis,33 cases with aeropleura,10 cases with hemopneumothorax,38 cases with fracture of rib,4 cases with fracture of clavicle,2 cases with fracture of shoulder blade,2 cases with thoracic vertebral fracture,1 case with fracture of sternum,87 cases with pneumoderma,11 cases with mediastinal emphesema and 3 cases with mediastinal hematoma.Conclusion: 64-MSCT can effectively diagnose acute pulmonary contusion,especially in diagnosing the larvaceous imaging signs.
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基本信息:
中图分类号:R816.4
引用信息:
[1]殷国生,张树桐.64层螺旋CT在急性肺挫伤诊断中的应用价值[J].江汉大学学报(自然科学版),2012,40(02):96-98.