目的探讨胸部闭合性创伤的X线、CT影像学表现，以提高诊断准确率。方法选取自2010～2012年106例胸部闭合性损伤患者的临床资料、X线及CT表现。结果通过X线及CT检查，胸部闭合性创伤致肺实质损伤多表现为复合性损伤，其中肺挫伤（创伤性湿肺）94例，肺撕裂伤6例；61例合并肋骨骨折，29例合并胸腔积液（血），21例合并液气胸，11例合并皮下软组织积气，4例合并肺血肿，2例合并肺囊肿，2例合并心包积液。结论胸部闭合性创伤早期做影像检查有利于发现病变部位、性质及损伤程度，CT检查有助于发现并发症。%Objective To explore the X-ray, CT findings of blunt chest trauma, in order to improve the diagnostic accuracy rate. Methods 106 cases of blunt chest injury in patients with clinical data, X-ray and CT findings from 2010 to 2012 were retrospectively analyzed. Results By X-ray and CT examination, pulmonary parenchyma injuryblunt by chest trauma caused showed complex injuries, including 94 cases of pulmonary contusion (traumatic wet lung), 6 cases of lung laceration. Among them,61 cases with rib fractures, 29 cases with pleural effusion (blood), 21 cases with pneumothorax, 11 cases with soft tissue product gas, 4 cases with pulmonary hematoma, 2 cases with lung cysts and 2 cases with pericardial effusion. Conclusion Early blunt chest trauma imaging is helpful to find the lesion site, the nature and extent of damage, CT is helpful to find complications.
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