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DR与螺旋CT诊断急诊胸腹部创伤患者的临床价值分析.doc


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DR与螺旋CT诊断急诊胸腹部创伤患者的临床价值分析.doc
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DR与螺旋CT诊断急诊胸腹部创伤患者的临床价值分析



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  [摘要] 目的 探討在急诊胸腹部创伤诊断方面DR与螺旋CT价值差异。方法 方便选取2017年2月—2018年11月该院所收治急诊胸腹部创伤患者94例,分别进行螺旋CT和DR检查,对两种方式的影像学资料进行回顾性分析。结果 该次研究中,手术病理检查显示,其中包括肋骨骨折30例,26例肺挫伤,22例肝脏损伤,16例肾脏损伤;螺旋CT在肺挫伤、肝脏损伤、肾脏损伤方面的诊断准确率均明显高于DR,且对于94例胸腹部创伤患者的总体诊断准确率明显高于DR,差异有统计学意义(χ2=33.738,P=0.000)。 结论 同DR摄片相比,采用螺旋CT扫描对急诊胸腹部创伤患者进行诊断可更为有效地发现内部脏器损伤或其他软组织创伤,对于尽快明确病情,开展下阶段针对性治疗具有十分重要的意义,建议在临床推广应用。



  [关键词] 急诊胸腹部创伤;螺旋CT;DR;诊断价值
  [中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2020)01(b)-0190-04
  Clinical Value of DR and Spiral CT in the Diagnosis of Emergency Thoracic and Abdominal Trauma Patients
  XU Xiao-dong
  Department of Radiology, Qixia People's Hospital, Qixia, Shandong Province, 265300 China
  [Abstract] Objective To investigate the difference of DR and spiral CT in the diagnosis of thoracic and abdominal trauma in emergency department. Methods A total of 94 patients with emergency thoracic and abdominal trauma admitted to our hospital from February 2017 to November 2018 were conveniently selected in this study. Spiral CT and DR were performed respectively. The imaging data of the two methods were retrospectively analyzed. Results In this study, surgical pathological examination showed that there were 30 cases of rib fracture, 26 cases of pulmonary contusion, 22 cases of liver injury, and 16 cases of kidney injury. The diagnostic accuracy of spiral CT in lung contusion, liver injury and kidney injury were all significantly higher than DR, and its overall diagnostic accuracy for 94 patients with thoracic and abdominal trauma was significantly higher than that of DR, and the difference was statistically significant(χ2=33.738, P=0.000). Conclusion Compared with DR radiography, the diagnosis of emergency chest and abdominal trauma patients with helical CT scan can more effectively find internal organ injury or oth
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