Petrović Kosta, Stojanović Sanja, Till Viktor, Vucaj-Cirilović Viktorija, Nikolić Olivera, Nićiforović Dijana
Klinicki centar Vojvodine, Novi Sad.
Med Pregl. 2008 Jan-Feb;61(1-2):83-6.
The most frequent incidences of blunt chest injuries occur due to motorvehicle accidents, falls and work-related traumas. Chest computed tomography is usually associated with examination of the subsequent regions with the aim to enable a more efficient diagnostic procedure. The purpose of this research study is to define the contribution of the chest CT in blunt injury patients.
This retrospective study encompasses the results of CT examination of 36 patients with one or more injuries of the thoracic wall, pleura, lungs and spinal column suspected to suffer chest organs traumas. Chest CT survey was performed in 30 patients, while thoracic spine CT survey was performed in 11 patients.
The most frequent incidences of injuries were due to motor vehicle accidents (22 patients--61.11%). Falls were the reason of injuries in 11 patients--17.46%. Chest injuries are usually associated with injuries of the surrounding regions, but occurred in isolated form, too (27.78%). Rib fractures and lungs parenchyma traumas were evidenced by CT examination in more than 60% of the patients. Thoracic spine fractures were most frequently reported at the 10-th, 11-th and 12-th vertebra and made more than 70% of the thoracic spine fractures.
The findings of this study coincide to a great extent with the findings presented in world literature.
钝性胸部损伤最常见的发生原因是机动车事故、跌倒和与工作相关的创伤。胸部计算机断层扫描通常与后续区域的检查相关联，目的是实现更高效的诊断程序。本研究的目的是确定胸部CT在钝性损伤患者中的作用。
这项回顾性研究涵盖了36例疑似胸部器官创伤的胸壁、胸膜、肺和脊柱一处或多处损伤患者的CT检查结果。30例患者进行了胸部CT检查，11例患者进行了胸椎CT检查。
最常见的损伤原因是机动车事故（22例患者，占61.11%）。11例患者（占17.46%）的损伤原因是跌倒。胸部损伤通常与周围区域的损伤相关，但也有孤立发生的情况（占27.78%）。超过60%的患者通过CT检查证实有肋骨骨折和肺实质创伤。胸椎骨折最常发生在第10、11和12胸椎，占胸椎骨折的70%以上。
本研究结果在很大程度上与世界文献中的结果一致。
