Agee R N, Long J M, Hunt J L, Petroff P A, Lull R J, Mason A D, Pruitt B A
J Trauma. 1976 Mar;16(3):218-24. doi: 10.1097/00005373-197603000-00007.
133Xenon lung scanning post-thermal injury was used to detect inhalation injury in 86 patients admitted to the United States Army Institute of Surgical Research during 1974. Inhalation injury was indicated by the 37 (43%) positive scans. Based on all available clinicopathologic evidence, 11 (13%) of the scans were erroneous with seven (8%) falsely positive and four (5%) falsely negative. Eighty-six per cent of the scans were "appropriate." Addition of bronchoscopy and/or pulmonary function testing appeared to improve diagnostic accuracy. By using any pair of tests, falsely negative diagnoses were virtually eliminated. Inhalation injury, as expected, had an adverse effect on survival rates. The group of patients whose expected mortality lay between 40 and 59% were most notably affected. One hundred per cent (five of five) of those with inhalation injury died; only one of eight without inhalation injury died.
1974年，美国陆军外科研究所对86例热损伤后患者进行了133氙肺扫描以检测吸入性损伤。37例（43%）扫描呈阳性提示存在吸入性损伤。根据所有可用的临床病理证据，11例（13%）扫描结果有误，其中7例（8%）为假阳性，4例（5%）为假阴性。86%的扫描结果是“恰当的”。增加支气管镜检查和/或肺功能测试似乎可提高诊断准确性。通过使用任意两项检查，几乎消除了假阴性诊断。正如预期的那样，吸入性损伤对生存率有不利影响。预期死亡率在40%至59%之间的患者组受影响最为显著。有吸入性损伤的患者全部死亡（5例中的5例）；无吸入性损伤的8例患者中仅1例死亡。
