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目的提高对非典型性创伤性湿肺的认识。方法对26例创伤性湿肺病例进行回顾性分析。结果6例创伤0.5-6小时内出现X线征象,6例3天内出现X线征象,12例一周内出现X线征象,2例一月内出现X线征象。其特征:首诊临床表现轻,X线征象不典型,出现时间晚。结论非典型性创伤性湿肺漏诊率高,但首诊率降低,误诊率低,只要掌握它的临床特征和影像特点,随着治疗性观察,可降低漏诊率。
Objective To improve the understanding of atypical traumatic wet lungs. Methods 26 cases of traumatic wet lung were retrospectively analyzed. Results Six cases showed signs of X-ray within 0.5-6 hours, X-ray signs in 6 cases in 3 days, X-ray signs in 12 cases in one week and X-ray signs in 2 cases in one month. Its characteristics: first clinical manifestations of light, X-ray signs are not typical, appeared late. Conclusions The rate of missed diagnosis of atypical traumatic wet lung is high, but the first diagnosis rate is lower and the rate of misdiagnosis is lower. As long as its clinical features and imaging characteristics are mastered, the rate of misdiagnosis can be reduced with the therapeutic observation.