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目的分析汶川大地震伤员的放射学表现特点。方法收集2008年5.12汶川大地震发生后至5月31日间213例地震伤员的完整放射学资料,着重分析伤员的X线、CT、MRI检查的影像学表现特点。结果 213例中,同时行X线、CT、MRI检查10例(5%),X线、MRI检查7例(3%),X线、CT检查9例(4%),仅行CT检查5例(2%),仅行X线检查182例(85%)。MRI检查17例(8%)中,同时行胸椎和腰椎检查2例、颈椎和胸椎1例,颈椎1例,膝关节2例,上腹部1例,骨盆1例,腰椎9例;CT检查24例(11%)中,头部9例,胸部6例,腹部1例,脊柱6例,骨盆2例;X线检查208例中,单部位检查64例(31%),多部位检查144例(69%),仅有软组织受伤38例(18%),单纯肺挫伤6例(3%),骨折164例(79%)。结论地震伤员影像学检查以常规X线为主,头颅、五官受伤者首选CT,CT、MRI检查作为胸部、脊柱、关节等部位的补充检查。地震伤员以单纯性骨折为主,骨折合并脏器外伤较少。
Objective To analyze the radiological features of the wounded in the Wenchuan earthquake. Methods The complete radiological data of 213 earthquake victims during the period from 5.12 Wenchuan Earthquake to May 31, 2008 were collected, and the imaging features of X-ray, CT and MRI were analyzed emphatically. Results Among the 213 cases, 10 cases (5%) were examined by X-ray, CT and MRI at the same time, and 7 cases (3%) were examined by X-ray and MRI and 9 cases (4% Cases (2%), only X-ray examination in 182 cases (85%). MRI examination in 17 cases (8%), at the same time, 2 cases of thoracic and lumbar examination, cervical and thoracic 1 case, cervical 1 case, knee 2 cases, upper abdomen 1 case, pelvis 1 case, lumbar 9 cases; CT examination 24 Of the 11 cases, 9 were in the head, 6 in the chest, 1 in the abdomen, 6 in the abdomen, and 2 in the pelvis. Of the 208 cases of X-ray examination, 64 (31%) were examined in one part and 144 (69%), only soft tissue injury in 38 cases (18%), simple pulmonary contusion in 6 cases (3%) and fracture in 164 cases (79%). Conclusion Radiographic examination of the earthquake victims is mainly performed on conventional X-ray. CT and CT and MRI are the best choice for head and facial injuries as a supplementary examination of the chest, spine and joints. The casualties of the earthquake were mainly simple fractures, with less trauma of organs and fractures.