Zinck S E, Primack S L
Department of Radiology, Oregon Health Sciences University, Portland 97201, USA.
J Thorac Imaging. 2000 Apr;15(2):87-96. doi: 10.1097/00005382-200004000-00003.
Injuries of the thorax are a major cause of morbidity and mortality in blunt trauma patients. Radiologic imaging plays an important role in the workup of the patient with thoracic trauma. The chest radiograph is the initial imaging study obtained, but computed tomography (CT) is now used frequently in the evaluation of chest trauma. The primary role of chest CT has been to assess for aortic injuries, but CT has been shown to be useful for the evaluation of pulmonary, airway, skeletal, and diaphragmatic injuries as well. Magnetic resonance imaging (MRI) has a limited role in the initial evaluation of the trauma patient, but may be of use for the evaluation of the spine and diaphragm in patients who are hemodynamically stable.
胸部损伤是钝性创伤患者发病和死亡的主要原因。放射影像学在胸部创伤患者的检查中起着重要作用。胸部X线片是最初进行的影像学检查,但计算机断层扫描(CT)现在在胸部创伤评估中经常使用。胸部CT的主要作用是评估主动脉损伤,但CT已被证明对评估肺部、气道、骨骼和膈肌损伤也有用。磁共振成像(MRI)在创伤患者的初始评估中作用有限,但对于血流动力学稳定的患者,可能有助于评估脊柱和膈肌。