Di 1 jun yi da xue xue bao = Academic journal of the first medical college of PLA · 2002
[Diagnoses of bronchus and lung trauma by computed tomography and X-ray examination in 37 cases: a comparative study].
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Shang Xue-Lin, Zhang Yu-Zhong, Zhang Xue-Lin
Аннотация
OBJECTIVE: To study the value of computed tomography (CT) in the diagnosis of traumatic injuries in the bronchus and lung.
METHOD: A retrospective analysis was conducted of the CT and X-ray radiographic images of the bronchus and lung in 36 cases of traumatic injuries in the chest.
RESULTS: Based on CT manifestations, the lung injuries of the 37 cases fell into 3 categories, namely mild, moderate and severe injuries. Of the 9 cases of mild lung injuries identified by CT, 5 failed to be detected by X-ray examination; in the 15 cases of moderate injuries, X-ray examination showed more confined areas of the injuries with lesser severity than CT did. In the rest 13 cases of severe injuries, only 9 were identified by X-ray. Bronchial injuries occurred in 3 case that were totally unidentifiable by X-ray and even routine CT scanning did not result in exact diagnoses. The injuries, however, were clearly demonstrated by thin-slice CT scan of the hila area after reconstruction of the images.
CONCLUSION: Chest X-ray is not sufficient for traumatic chest injury examination in the emergency room that necessitates CT scanning of the chest.
METHOD: A retrospective analysis was conducted of the CT and X-ray radiographic images of the bronchus and lung in 36 cases of traumatic injuries in the chest.
RESULTS: Based on CT manifestations, the lung injuries of the 37 cases fell into 3 categories, namely mild, moderate and severe injuries. Of the 9 cases of mild lung injuries identified by CT, 5 failed to be detected by X-ray examination; in the 15 cases of moderate injuries, X-ray examination showed more confined areas of the injuries with lesser severity than CT did. In the rest 13 cases of severe injuries, only 9 were identified by X-ray. Bronchial injuries occurred in 3 case that were totally unidentifiable by X-ray and even routine CT scanning did not result in exact diagnoses. The injuries, however, were clearly demonstrated by thin-slice CT scan of the hila area after reconstruction of the images.
CONCLUSION: Chest X-ray is not sufficient for traumatic chest injury examination in the emergency room that necessitates CT scanning of the chest.