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外伤性支气管断裂的影像诊断

Imaging Diagnosis of Traumatic Bronchial Rupture

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【作者】 龚瑞尹姬郑西卫何进喜

【Author】 GONG Rui, YIN Ji, ZHENG Xiwei.et al.Department of Radiology, The Affiliated Hospital of Ningxia Medical College, Yinchuan, The Ningxia Hui Autonomous Region 750004, P. R. China

【机构】 宁夏医学院附属医院放射科宁夏医学院附属医院呼吸内科宁夏医学院附属医院胸心外科 750004 银川750004 银川

【摘要】 目的 分析外伤性支气管断裂的X线平片及CT表现,评价影像学表现在早期诊断中的价值。资料与方法 回顾性分析10例经手术病理证实的外伤性支气管断裂的影像学表现。结果 外伤性支气管断裂的主要X线表现:纵隔及皮下气肿,气胸或液气胸,肺不张,肺下垂征;CT检查可补充X线平片的不足,可显示气管支气管柱中断,气管移位或成角畸形。结论 外伤性支气管断裂有特征性的影像学表现,认识这些征象,有助于早期诊断。

【Abstract】 Objective To analyze X-ray and CT manifestations of traumatic bronchial rupture and to evaluate the imaging signs in making its early diagnosis. Materials and Methods Imaging findings in 10 cases with pathologically-proved traumatic bronchial rupture were retrospectively analyzed. Results The main radiographie findings of traumatic bronchial rupture included: pneumomediastinum and subcutaneous emphysema, pneumothorax or together with pleural effusion, atelectasis, "lung ptosis" sign. On CT scan, interrupted trachea-bronchial air column and displaced or angulated bronchus were displayed. Conclusion Traumatic bronchial rupture has characteristic imaging signs. A familiarity with these signs is helpful for making an early diagnosis.

  • 【文献出处】 临床放射学杂志 ,Journal of Clinical Radiololgy , 编辑部邮箱 ,2003年08期
  • 【分类号】R816.4
  • 【被引频次】14
  • 【下载频次】105
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