多排螺旋CT在汶川大地震损伤诊断中的应用
|
摘要
目的根据CT异常表现探讨汶川大地震所致人体损伤情况及多排螺旋CT的诊断价值。方法回顾性分析汶川大地震后最初几天320名伤员的多排CT表现,并按损伤部位分别统计。结果271例有明显的损伤表现,包括354个部位,分别是颅脑损伤143例,脊柱骨折97例,骨盆骨折40例,胸部损伤40例,腹部损伤20例,肢体骨折14例,其中76例有多部位损伤。结论地震损伤涉及全身多部位、多个器官;多排螺旋CT检查速度快,对损伤的综合诊断价值高,有助于地震伤员的筛查和分类治疗。
Objective To analyze the injuries arising from the earthquake of Wenchuan according to CT findings and the diagnostic valve of multi-detector CT (MDCT). Methods MDCT findings of 320 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 271 victims (354 region injury), including craniocerebral injuries (143), spine fractures (97), pelvic fractures (40), thoracic injuries (40), abdominal injuries (20), extremity injuries (14), and multiple region injuries (76). Conclusion Injuries associated with earthquake can involve most parts of the body; the examination of MDCT is quick and combination diagnostic value is high; MDCT is very useful as the screening technique for injuries caused by earthquake.
Objective To analyze the injuries arising from the earthquake of Wenchuan according to CT findings and the diagnostic valve of multi-detector CT (MDCT). Methods MDCT findings of 320 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 271 victims (354 region injury), including craniocerebral injuries (143), spine fractures (97), pelvic fractures (40), thoracic injuries (40), abdominal injuries (20), extremity injuries (14), and multiple region injuries (76). Conclusion Injuries associated with earthquake can involve most parts of the body; the examination of MDCT is quick and combination diagnostic value is high; 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 inju-ries associated with earthquake:a report of injuries of Iran's De-cember26,2003Bam earthquake casualties managed in tertiary referral centers.Injury,2005,36(1):27-32.
[2]Tang FB,Pu J H,Zhang B,et al.Treat ment of injury in earth-quake.J Trauma Surg,2007,9(3):210.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]Sun ZG,Li HL.Method and principles of earthquake casualty classification.Journal of Catastrophology,2001,16(1):62-64.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]Zang YQ,Yang ZC,Peng BB,et al.Clinical features of diseases andinjuries in disaster areas:investigationin Balakot earthquake-stricken area,Pakistan.China Journal of Emergency Resuscita-tion and Disaster Medicine,2007,2(1):28-30.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(1):28-30.
[5]Yoshi mura N,Nakayama S,Nakagiri K,et al.Profile of chest in-juries arising from the1995southern Hyogo prefecture earth-quake.Chest,1996,110(9):759-761.
[6]Wang TX,Wang LZ,Yu FR.The clinical value of multi-detector CTin the diagnosis of bone injury.Chin J Med I maging Technol,2003,19(1):118-119.王土兴,王立章,俞方荣.多层螺旋CT在骨创伤诊断中的临床价值.中国医学影像技术,2003,19(1):118-119.
[7]Hu XX,Cheng SH.The value of three-di mensional reconstruction in the clinical application of bone andjoint trauma.Chin J Radiol,2002,36(8):758-760.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(8):758-760.
[2]Tang FB,Pu J H,Zhang B,et al.Treat ment of injury in earth-quake.J Trauma Surg,2007,9(3):210.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]Sun ZG,Li HL.Method and principles of earthquake casualty classification.Journal of Catastrophology,2001,16(1):62-64.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]Zang YQ,Yang ZC,Peng BB,et al.Clinical features of diseases andinjuries in disaster areas:investigationin Balakot earthquake-stricken area,Pakistan.China Journal of Emergency Resuscita-tion and Disaster Medicine,2007,2(1):28-30.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(1):28-30.
[5]Yoshi mura N,Nakayama S,Nakagiri K,et al.Profile of chest in-juries arising from the1995southern Hyogo prefecture earth-quake.Chest,1996,110(9):759-761.
[6]Wang TX,Wang LZ,Yu FR.The clinical value of multi-detector CTin the diagnosis of bone injury.Chin J Med I maging Technol,2003,19(1):118-119.王土兴,王立章,俞方荣.多层螺旋CT在骨创伤诊断中的临床价值.中国医学影像技术,2003,19(1):118-119.
[7]Hu XX,Cheng SH.The value of three-di mensional reconstruction in the clinical application of bone andjoint trauma.Chin J Radiol,2002,36(8):758-760.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(8):758-760.
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心