| 支琪,王继琛.胸部MSCT诊断高空坠落伤[J].中国医学影像技术,2016,32(6):885~889 |
| 胸部MSCT诊断高空坠落伤 |
| Chest MSCT in diagnosis of high fall injury |
| 投稿时间：2016-01-28 修订日期：2016-03-14 |
| DOI：10.13929/j.1003-3289.2016.06.018 |
| 中文关键词: 胸部损伤 体层摄影术,X线计算机 影响因素 |
| 英文关键词:Thoracic injuries Tomography, X-ray computed Affecting factors |
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| 中文摘要: |
| 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,P<0.001)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。 |
| 英文摘要: |
| Objective To assess the manifestations of chest MSCT in diagnosis of high fall injuries and to analyze the effect of age, falling height and gender on various chest injuries. Methods Clinical and chest MSCT materials of 235 patients with high fall injuries were analyzed retrospectivly. The distribution of different injury types were evaluated and possible affecting factors of injuries were assessed preliminarily. Results There were 104 patients (104/235, 44.26%) with rib fractures, 102(102/235, 43.40%) with vertebral fractures, 13(13/235, 5.53%) with sternal fractures, 27(27/235, 11.49%) with scapular fractures, 10(10/235, 4.26%) with clavicular fractures, 91(91/235, 38.72%) with pulmonary parenchymal injuries and 63(63/235, 26.81%) with pleural injuries. Fifteen patients (15/235, 6.38%) had mediastinal injuries and 13(13/235, 5.53%) had thoracic soft tissue injuries. Age was associated with the occurrences of rib fractures (OR=1.023, P=0.046), vertebral fractures (OR=1.023, P=0.039) and clavicular fractures (OR=1.073, P=0.017) significantly. Falling height was associated with the occurrences of rib fractures (OR=1.115, P=0.028), vertebral fractures (OR=1.127, P=0.016), pulmonary parenchymal injuries (OR=1.101, P=0.041), pleural injuries (OR=1.105, P=0.041) and soft tissue of chest wall injuries (OR=1.270, P<0.001) apparently. However, gender had no influence on various kinds of chest injuries. Conclusion MSCT manifestations reveal that multiple organs and multi-parts are involved in chest injuries caused by high fall. Age and falling height are risk factors on the type of chest injuries caused by high fall. |
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