创伤性湿肺的X线与CT诊断(1)
【摘要】目的探讨X线摄影与CT检查在创伤性湿肺诊断中的应用价值及其临床意义。方法回顾分析40例创伤性湿肺病例的X线与CT资料,并加以总结。结果创伤性湿肺主要表现为肺纹影增强、模糊34例,占85.00%;肺内斑片影29例,占72.50%;面纱征或/和毛玻璃征9例,占22.50%;肺血肿影4例,占10.00%,及其他如肋骨骨折、胸腔积液、膈肌破裂等影像表现。结论X线摄影和CT检查目前仍是创伤性湿肺的主要检查手段。CT能够较准确显示创伤性湿肺的病灶特点,对其诊断、治疗及疗效观察有重要价值。【关键词】创伤性湿肺;X线摄影;计算机体层摄影
X-ray and CT diagnosis of traumatic moist lung
HUANG Jing-long,ZHOU Peng,GAO Xue-mei.Department of Radiology,Peoples Hospital of Zhongjiang District,Deyang City,Zhongjiang 618100,China
【Abstract】ObjectiveTo explore the applied value of X-ray adiography and CT in the diagnosis of traumatic moist lung(TML).MethodsX-ray and CT findings of TML in 40 patients were analyzed summarized retrospeetively.ResultsAmong 40 patients with TML,X-ray radiography and CT revealed the lung marking enhance and/or hazy in 34 cases(85.00%),the pulmonary patehy ahadowa in 29 cases(72.50%),the facing Yam signs or the ground glass signs in 9 cases(22.50%),pulmonary hematoma shadows in 4 cases(10.00%),and other abnormal findings such costal bone fracture,pleural effusion,diaphragmatic muscle break etc.ConclusionX-ray radiography and CT now still are highly important measures for diagnosing TML.CT can show focis characters of the TML and is quite valuable in its diagnosis,treatment and observing curative effect. ......
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