地震损伤中多排螺旋CT的筛查价值

英文篇名：Injury of the earthquake of WenChuan: the screening valve of multi-detector CT
中文刊名：内蒙古中医药
英文刊名：Nei Mongol Journal of Traditional Chinese Medicine
作者：沈兰 ; 明兵 ; 何瑜 ; 钟唐力 ; 贺国庆 ; 何川东 ; 管彬 ; 张顺源
英文作者：SHEN lan ; MING Bing ; HE Yu ; ZHONG tang-li ; HE Guo-qing ; HE chuan-dong ; GUAN bin ; ZHANG shun-yuan. (Department of Radiology ; Mianyang Central Hospital ; Mianyang 621000 ; China )
中文关键词：地震 ; 损伤 ; X线计算机 ; 体层摄影术
英文关键词：Earthquake ; Injury ; Tomography ; X-ray computed
出版日期：2008-07-30
机构：四川绵阳市中心医院放射科;
年：2008
期：14
出版单位：内蒙古中医药

摘要

目的:探讨多排螺旋CT对汶川地震损伤的筛查价值。方法:回顾性分析汶川大地震后541名伤员的多排螺旋CT检查方法及CT表现,并按损伤部位分别统计。结果:460人有明显的损伤表现,包括564个部位,分别是颅脑损伤233例,脊柱骨折157例,骨盆骨折62例,胸部损伤60例,腹部损伤32例,肢体骨折20例,其中104例有多部位损伤。结论:地震损伤涉及全身多部位及多个器官。多排螺旋CT检查速度快、诊断准确、有利于伤员及时分类治疗。
Objective To analyze the diagnostic valve of multi-detector CT(MDCT) of injury arising from the earthquake of WenChuan . Methods MDCT findings of 541 victims from the first few days of the earthquake were retrospectively analyzed, to add up the region of injury. Results CT abnormalities were found in 460 victims, including craniocerebral injuries (233), spine fractures(157),pelvic fractures(62),thoracic injuries(60), abdominal injuries(32)and extremity injuries(20), multiple region injuries were 104 cases. Conclusion Injuries associated with earthquake can involve most parts of the body, the examination of MDCT is quick and accurate ,MDCT is very useful as the screening technique for injuries caused by earthquake.

引文

[1]Naghi TM,Kambiz K,Shahriar TM,et al.Musculoskeletal in-juries associated with earthquake.A report of injuries of Iran's December26,2003Bam earthquake casualties managed in ter-tiary referral centers.Injury,2005,36(1):27-32.
    [2]唐甫斌,浦金辉,张璧,等.地震伤员的处理原则.创伤外科杂志,2007,9(3):210.
    [3]孙志刚,李宏立.地震伤员分类的方法和原则.灾害学,2001,16(1):62-64.
    [4]张永青,杨造成,彭碧波,等.巴拉考特地震灾区发病状况分析.中国急救复苏与灾害医学杂志,2007,2:28-30.
    [5]胡小新,陈时洪.螺旋CT三维重建成像在骨关节外伤中的临床应用价值探讨.中华放射学杂志,2002,36:758-760.
    [6]Yoshimura N,Nakayama S,Nakagiri K,et al.Profile of chest injuries arising from the1995southern Hyogo prefecture earth-quake.Chest,1996,110(9):759-761.