玉树特大地震伤员影像学表现及分析

摘要

目的 分析玉树地震伤员损伤类型及影像学表现.方法 回顾性分析青海红十字医院收治的238例玉树特大地震伤员影像学资料,X线平片213例,CT检查129例,MRI检查42例,DSA 4例.结果 238例伤员中,影像检查阳性176例、占73.9%(176/238),其中颅脑损伤9例(4%),颌面部损伤16例(6.7%),颈部损伤1例(0.4%),胸部 损伤44例(18.5%),腹部损 伤8例(3.4%),脊柱损伤32例(13.4%),骨盆损伤38例(16.0%),上肢损伤22例(9.2%),下肢损伤51例(21.4%),骨折合并股动脉血栓形成2例;所有伤员中多部位损伤者47例(19.7%),骨折及关节脱位共174例(73.1%),内脏伤共48例(20.2%),脑和脊髓伤共16例(6.7%).结论 地震可造成全身多部位损伤,影像检查具有重要意义.%Objective To analyze the injury types and the imaging patterns in victims in earthquake in Yushu, Qinghai Province.Methods The imaging data of 238 victims in earthquake in Yushu, Qinghai Province were collected and analyzed retrospectively. X -ray examination were performed in 213 cases, while CT examination in 129 cases, MR examination in 42 cases, and DSA examination in 4 cases were done respectively. Results The injuries were detected in 176 cases (73.9％, 176/238) by imaging,including cranial injuries in 9 cases (4％ ), maxillofacial injuries in 16 cases (6.7 ％), neck injury in 1 case (0.4％), chest injuries in 44 cases (18.5 ％ ), abdominal injuries in 8 cases (3.4 ％ ), spinal injuries in 32 cases (13.4 ％ ), pelvic injuries in 38 cases ( 16.0％ ), upper limb injuries in 22 cases (9. 2％ ), lower limb injuries in 51 cases (21.4％), fractures with thrombosis in femoral artery in 2 cases,multiple injuries in 47( 19.7 ％), fracture and dislocation in 174 cases(73.1％ ) ,visceral injuries in 48 cases (20. 2 ％ ), brain and spinal cord injuries in 16 cases (6.7％ ). Conclusion The earthquake can cause the injuries in many locations of whole body. Imaging examinations are of significant value.