Heystraten F M, Rosenbusch G, Kingma L M, Lacquet L K, de Boo T, Lemmens W A
Department of Diagnostic Radiology, University of Nijmegen, The Netherlands.
Acta Radiol. 1988 Jul-Aug;29(4):411-7.
Of 123 patients who had suffered blunt trauma to the chest traumatic aortic rupture was eventually confirmed in 61 and absent in 62 patients. The chest radiographs of these patients were examined for 15 signs reported in the literature as being associated with traumatic aortic rupture. Although many individual signs were significantly more frequent in the aortic rupture group they were not useful in differentiating between patients with and those without rupture of the aorta. By using discriminant analysis combining 2 or 3 signs, patients were classified as having aortic rupture or not. The best discrimination between the two groups was obtained using the combined signs of a widened paratracheal stripe, an opacified pulmonary window, a widened right paraspinal interface and a displaced nasogastric tube.
在123例胸部遭受钝性创伤的患者中，最终证实61例发生创伤性主动脉破裂，62例未发生。对这些患者的胸部X线片进行检查，以查找文献中报道的与创伤性主动脉破裂相关的15种征象。尽管许多单一征象在主动脉破裂组中出现的频率明显更高，但它们对于区分主动脉破裂患者和未破裂患者并无帮助。通过判别分析结合2种或3种征象，将患者分类为有或无主动脉破裂。使用气管旁条纹增宽、肺窗模糊、右侧椎旁界面增宽和鼻胃管移位的联合征象，可实现两组之间的最佳区分。
