| 256层螺旋CT在胸部闭合性创伤诊断中的应用 |
| 投稿时间：2016-02-03 修订日期：2016-02-24 点此下载全文 |
| 引用本文：赵鹤亮,陈昕,赵新斌,张惠英.256层螺旋CT在胸部闭合性创伤诊断中的应用[J].医学研究杂志,2016,45(9):145-148 |
| DOI：
10.11969/j.issn.1673-548X.2016.09.038 |
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| 基金项目:唐山市科技局科技指令性计划项目（13130273z）；河北联合大学青年科学基金资助项目（z201229） |
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| 中文摘要:目的 总结胸部闭合性创伤中肺撕裂伤和气胸的影像学特征及损伤机制、演变规律。方法 选取符合标准的肺撕裂伤患者48例病灶72例、60例气胸患者的CT图像进行回顾性分析。结果 不规则形组肺撕裂伤病灶多分布在肺组织边缘；肺撕裂伤病灶存在着自限性；单侧实变为主的广泛型肺挫伤多合并中-大量气胸症状；少量气胸无需处理可自行恢复。结论 256层螺旋CT联合MPR后处理技术可以较好的观察肺撕裂伤和气胸的形态分布等特征，对于及时正确诊断极具参考价值。 |
| 中文关键词:X线计算机 体层摄影术 肺撕裂伤 气胸 |
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| Diagnostic Analysis of Closed Chest Trauma in 256-slice Spiral CT |
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| Abstract:Objective To summarise the imaging characteristics and damage mechanism and evolution of lung laceration and pneumothorax in closed chest trauma. Methods Totally 72 cases from 32 patients with standard pulmonary laceration and CT images from 60 patients with pneumothorax were selected and analysed retrospectively. Results Irregular shape group of pulmonary laceration where self-limitation existed was distributed around the edge of lung tissue. Widespread-type of pulmonary laceration with unilateral consolidation was mainly found in medium-large pneumothorax, while small pneumothorax could shrink or disappear automatically. Conclusion 256-slice spiral CT combined with MPR could be better used to observe the laceration of lung morphology distribution. Moreover, there is of great reference value for timely and correct diagnosis. |
| keywords:X-ray Computed tomography Lung laceration Pneumothorax |
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