Wagner R B, Jamieson P M
Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Surg Clin North Am. 1989 Feb;69(1):31-40. doi: 10.1016/s0039-6109(16)44732-8.
In thoracic trauma, as in all of medicine, diagnosis precedes therapy. Over the past 5 years, we have liberally used chest CT examinations to improve diagnosis in the severely injured patient. This approach has significantly increased our diagnostic yield and permitted early diagnosis and treatment of unsuspected injuries. Confidence in our method of quantitation has helped us to assess the severity of pulmonary parenchymal injuries. Correlation of the CT findings with histologic study has changed our concept of pulmonary contusion from that of interstitial disease to that of pulmonary laceration with blood pneumonia.
在胸外伤中，如同在所有医学领域一样，诊断先于治疗。在过去5年里，我们大量使用胸部CT检查以改善对重伤患者的诊断。这种方法显著提高了我们的诊断率，并能对未被怀疑的损伤进行早期诊断和治疗。对我们定量方法的信心有助于我们评估肺实质损伤的严重程度。CT检查结果与组织学研究的相关性已将我们对肺挫伤的概念从间质性疾病转变为伴有血性肺炎的肺撕裂伤。
