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目的:探讨西宁地区儿童创伤性湿肺的X线及CT诊断特征及价值。方法:对32例年龄在(1～13)岁儿童胸部创伤从X线及CT征象发病机理病理基础上进行对照分析比较。结果:发现肺部渗出性病变25例,肺血肿3例,气胸2例,皮下气肿1例,肺部渗出病变伴肋骨骨折1例。结论:在西宁地区儿童胸部创伤中,X线平片是首选的检查方法,其简便快捷,便于复查。CT表现具有一定的特征性改变,能早期发现轻度肺实质改变及细微变化,两者影像检查技术结合能为临床早期诊断和治疗提供依据。
Objective: To explore the diagnostic value and value of X-ray and CT in children’s traumatic wet lung in Xining. Methods: The chest trauma of 32 children aged 1 to 13 years was compared and analyzed on the basis of the pathology of X-ray and CT. Results: 25 cases of pulmonary exudative lesions, 3 cases of pulmonary hematoma, 2 cases of pneumothorax, 1 case of subcutaneous emphysema and 1 case of pulmonary exudative lesions with rib fractures were found. Conclusion: X-ray film is the preferred method of examination in children with chest trauma in Xining. It is simple, quick and easy to review. CT performance has some characteristic changes, early detection of mild lung parenchymal changes and subtle changes, the combination of both imaging technology can provide the basis for early clinical diagnosis and treatment.