Pinterits F, Grabenwöger F, Dock W, Bardach G
Rofo. 1987 May;146(5):504-7. doi: 10.1055/s-2008-1048528.
We tried to find out the validity of 16 wellknown signs indicating an acute traumatic aortic rupture on plain chest radiographs of 22 patients. Angiographically 11 of all patients had a tear at the aortic isthmus. It turned out that 7 of the 16 signs (widened mediastinum, loss of the aortic knob contour, opacification in the aortopulmonary window, bulging of the vascular pedicle predominantly to the left, left apical cap, depression of the left main stem bronchus and displacement of the right paraspinous interface) are of great diagnostic value.
我们试图通过22例患者的胸部X线平片来确定16种已知的提示急性创伤性主动脉破裂体征的有效性。血管造影显示,所有患者中有11例在主动脉峡部有撕裂。结果表明,16种体征中的7种(纵隔增宽、主动脉结轮廓消失、主动脉肺动脉窗模糊、血管蒂主要向左膨出、左心尖帽、左主支气管压低和右椎旁界面移位)具有很大的诊断价值。