Camassa N W, Boccuzzi F, Troilo A, D'Ettorre E
Servizio di Radiologia, Ospedale Generale Regionale SS. Annunziata, Taranto.
Radiol Med. 1988 Mar;75(3):156-9.
The authors reviewed CT scans and supine chest X-ray of 47 patients affected by severe thoracic trauma, examined in 1985-86. The sensibility of the two methodologies in the assessment of pneumothorax was compared. CT detected 25 pneumothorax, whereas supine chest X-ray allowed a diagnosis in 18 cases only. In 8 of the latter (44.4%) the diagnosis was made possible by the presence of indirect signs of pneumothorax only--the most frequent being the deep sulcus sign. The characterization of pneumothorax is important especially in the patients who need to be treated with mechanical ventilation therapy, or who are to undergo surgery in total anaesthesia.
作者回顾了1985 - 1986年期间接受检查的47例严重胸部创伤患者的CT扫描和仰卧位胸部X光片。比较了两种方法在气胸评估中的敏感性。CT检测到25例气胸，而仰卧位胸部X光片仅能诊断出18例。在后者中的8例（44.4%）中，仅通过气胸的间接征象才得以做出诊断——最常见的是深沟征。气胸的特征描述尤为重要，特别是对于那些需要接受机械通气治疗或在全身麻醉下进行手术的患者。
