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DR与螺旋CT诊断急诊胸腹部创伤的临床应用研究

董智慧 缪颜嵘 温学慧 乔婷

中国现代医生2018,Vol.56Issue(14):115-117,3.
中国现代医生2018,Vol.56Issue(14):115-117,3.

DR与螺旋CT诊断急诊胸腹部创伤的临床应用研究

Clinical application of DR and spiral CT in the diagnosis of emergency thoracic and abdominal trauma

董智慧 1缪颜嵘 2温学慧 1乔婷3

作者信息

  • 1. 牡丹江医学院第二附属医院影像科,黑龙江牡丹江 157000
  • 2. 牡丹江医学院附属红旗医院精神心理科,黑龙江牡丹江 157000
  • 3. 牡丹江医学院附属红旗医院急诊科,黑龙江牡丹江 157000
  • 折叠

摘要

Abstract

Objective To study the clinical application effect of X-ray computed tomography (DR) and spiral CT in the diagnosis of emergency thoracic and abdominal trauma. Methods A total of 174 patients with emergency thoracic and abdominal trauma admitted in our hospital from November 19, 2016 to November 19, 2017 were enrolled in this study. All patients underwent DR and spiral CT examinations. The pathological diagnosis coincidence rate between the two diagnostic methods and the satisfaction with the diagnostic methods between the two groups was compared. Results In terms of pathological diagnosis, the coincidence rate of spiral CT in subcutaneous emphysema, rib fractures, scapular fractures, clavicle fractures, pulmonary contusion, pleural effusion, pneumothorax, atelectasis, mediastinal emphysema, liver injury, spleen injury, kidney injury, pancreas injury, celiac hemorrhage, mesentery laceration and diaphragmatic injury was 100. 00%. Except for pulmonary contusion, mediastinal emphysema, hematoma and kidney injury and pancreatic injury, the pathological diagnosis coincidence rate of spiral CT in the other chest trauma was higher than that of DR diagnosis, and the difference was statistically significant (P<0. 05). The patients' satisfaction score of spiral CT diag nosis was significantly higher than that of DR diagnosis(P<0. 05). Conclusion The spiral CT in the diagnosis of emer gency thoracic and abdomen trauma is better, which can improve the clinical diagnosis of coincidence rate, and is worthy of further recommendation.

关键词

螺旋CT/DR/急诊胸腹部创伤

Key words

Spiral CT/DR/Emergency thoracic and abdominal trauma

分类

医药卫生

引用本文复制引用

董智慧,缪颜嵘,温学慧,乔婷..DR与螺旋CT诊断急诊胸腹部创伤的临床应用研究[J].中国现代医生,2018,56(14):115-117,3.

中国现代医生

1673-9701

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