肺撕裂伤的CT诊断

    CT diagnosis of lung laceration

    • 摘要: 目的:探讨肺撕裂伤的CT表现及特征。方法:回顾性分析11例肺撕裂伤的CT表现。结果:11例肺撕裂伤患者累及12侧,18个病灶,大多位于肺的背部,贴近胸膜和脊柱,单发或多发,CT主要表现为肺气囊肿4例,气液囊肿4例,肺血肿3例。11例患者均伴有不同程度的肺挫伤,其中肋骨骨折7例,胸腔积液6例,气胸6例,皮下气肿4例。结论:肺撕裂伤的CT表现具有一定的特征性,CT能准确及时诊断肺撕裂伤范围及严重程度,对临床诊断和治疗具有重要指导作用。

       

      Abstract: Objective: To evaluate the performance and features of lung laceration in the CT scan.Methods: The data of 11 cases of pulmonary lacerations of the CT scan were retrospectively analysised.Results: Eleven cases were involving 12 side with lung laceration, 18 disease lesions,most of which were on the back of the lung, close to the pleura and spine, single or multiple.CT detected 4 cases of lung cyst in,4 cases of cyst liquid,pulmonary hematoma in 3 cases.Eleven cases of lung laceration were all suffered varying degrees of pulmonary contusion, including 7 cases of rib fracture,6 cases of pleural effusion,6 cases of pneumothorax and 4 cases of subcutaneous emphysema.Conclusions: The CT manifestations of lung tear has a certain characteristic which could be accurate and timely diagnosis of the scope and severity of lung laceration on an important role in guiding clinical treatment.

       

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