胸部MSCT诊断高空坠落伤

发布时间：2018-02-12 00:17

本文关键词： 胸部损伤体层摄影术 X线计算机影响因素　出处：《中国医学影像技术》2016年06期 　论文类型：期刊论文

【摘要】：目的分析高空坠落伤的胸部MSCT表现,探讨年龄、坠落高度、性别对损伤的影响。方法回顾性分析235例高空坠落伤患者的临床及MSCT资料,分析各损伤类型的影响因素。结果 235例患者中,肋骨骨折104例(104/235,44.26%),脊柱骨折102例(102/235,43.40%),胸骨骨折13例(13/235,5.53%),肩胛骨骨折27例(27/235,11.49%),锁骨骨折10例(10/235,4.26%),肺实质损伤91例(91/235,38.72%),胸膜损伤63例(63/235,26.81%),纵隔损伤15例(15/235,6.38%),胸壁软组织损伤13例(13/235,5.53%)。年龄与肋骨骨折(OR=1.023,P=0.046)、脊柱骨折(OR=1.023,P=0.039)及锁骨骨折(OR=1.073,P=0.017)有关,坠落高度与肋骨骨折(OR=1.115,P=0.028)、脊柱骨折(OR=1.127,P=0.016)、肺实质损伤(OR=1.101,P=0.041)、胸膜损伤(OR=1.105,P=0.041)、胸壁软组织损伤(OR=1.270,P0.001)有关,性别与各种损伤均无明显关系。结论 MSCT显示高空坠落所致胸部损伤具有多部位、多器官累及的特点,患者年龄及坠落高度是影响损伤类型的危险因素。
[Abstract]:Objective to investigate the effects of age, height and sex on chest MSCT in patients with high altitude falling injury. Methods the clinical and MSCT data of 235 patients with high altitude fall injury were analyzed retrospectively. Results among 235 patients, 104 cases of rib fracture, 102 cases of spinal fracture, 13 cases of sternum fracture, 13 cases of sternum fracture, 27 cases of scapular fracture, 27 cases of scapular fracture, 10 cases of clavicle fracture, 10 cases of 10 / 10% 2354.26, 91 cases of lung parenchymal injury, 91 cases of pulmonary parenchyma injury, 63 cases of 63 cases of pleural injury, 63 cases of septum injury, 15 cases of mediastinal injury, 15 cases of mediastinal injury, 13 cases of soft tissue injury of chest wall, 13 cases of soft tissue injury of chest wall and 13 cases of age. It is related to the fracture of the rib, the fracture of the rib, the fracture of the spine, the fracture of the spine and the fracture of the clavicle, and the fracture of the clavicle and the fracture of the clavicle, and the fracture of the clavicle is related to the fracture of the rib and the fracture of the clavicle. The height of falling was not related to the fracture of ribs (1.115), the spine fracture (1.127), the lung parenchyma injury (1.101), the pleural injury (1.105) and the soft tissue injury (OR1.270P0.001). Conclusion MSCT shows that the chest injury caused by falling from high altitude has many sites. The characteristics of multiple organ involvement, patient age and fall height are risk factors for injury type.
【作者单位】：南京医科大学附属明基医院放射科;
【分类号】：R641;R816.8

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