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外伤性支气管断裂的影像诊断
引用本文:龚瑞,尹姬,郑西卫,何进喜.外伤性支气管断裂的影像诊断[J].临床放射学杂志,2003,22(8):674-676.
作者姓名:龚瑞  尹姬  郑西卫  何进喜
作者单位:1. 750004,银川,宁夏医学院附属医院放射科
2. 750004,银川,宁夏医学院附属医院呼吸内科
3. 750004,银川,宁夏医学院附属医院胸心外科
摘    要:目的 分析外伤性支气管断裂的X线平片及CT表现,评价影像学表现在早期诊断中的价值。资料与方法回顾性分析10例经手术病理证实的外伤性支气管断裂的影像学表现。结果 外伤性支气管断裂的主要X线表现:纵隔及皮下气肿,气胸或液气胸,肺不张,肺下垂征;CT检查可补充X线平片的不足,可显示气管支气管柱中断,气管移位或成角畸形。结论 外伤性支气管断裂有特征性的影像学表现,认识这些征象,有助于早期诊断。

关 键 词:外伤性支气管断裂  影像诊断  X线平片  CT  早期诊断  误诊
修稿时间:2002年6月25日

Imaging Diagnosis of Traumatic Bronchial Rupture
GONG Rui,YIN Ji,ZHENG Xiwei.et al.Imaging Diagnosis of Traumatic Bronchial Rupture[J].Journal of Clinical Radiology,2003,22(8):674-676.
Authors:GONG Rui  YIN Ji  ZHENG Xiwei
Affiliation:GONG Rui,YIN Ji,ZHENG Xiwei.et al. Department of Radiology,The Affiliated Hospital of Ningxia Medical College,Yinchuan,The Ningxia Hui Autonomous Region 750004,P. R. China
Abstract:Objective To analyze X-ray and CT manifestations of traumatic bronchial rupture and to evaluate the imaging signs in making its early diagnosis. Materials and Methods Imaging findings in 10 cases with pathologically-proved traumatic bronchial rupture were retrospectively analyzed. Results The main radiographie findings of traumatic bronchial rupture included: pneumomediastinum and subcutaneous emphysema, pneumothorax or together with pleural effusion, atelectasis, "lung ptosis" sign. On CT scan, interrupted trachea-bronchial air column and displaced or angulated bronchus were displayed. Conclusion Traumatic bronchial rupture has characteristic imaging signs. A familiarity with these signs is helpful for making an early diagnosis.
Keywords:Rupture  bronchial Trauma Radiography Tomography  X-ray computed
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