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计算机断层扫描(CT)和平片上的纯弹道性声压波肺损伤。

Pure ballistic sonic pressure wave lung injury on computed tomography (CT) and plain radiograph.

作者信息

Hanapiah Fadhila Mohd, Jamali Ahmad Aizuddin Mohamad, Aziz Mohd Ezane, Mohktar Mohd Syazwan, Ismail Zul Khairul Azwadi, Husin Mohd Hafizuddin, Yusoff Bazli Md

机构信息

Radiology Department, Hospital Universiti Sains Malaysia, Jalan Raja Perempuan Zainab 2, 16150, Kota Bharu, Kelantan, Malaysia.

Radiology Department, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan, Malaysia.

出版信息

Radiol Case Rep. 2023 May 29;18(8):2673-2676. doi: 10.1016/j.radcr.2023.04.058. eCollection 2023 Aug.

Abstract

Sonic pressure wave should be taken into consideration in all ballistic injury. We review a young gentleman with ballistic injury of his lateral chest wall. The bullet trajectory passed through the lateral chest wall. Chest radiograph shows a wedge-shaped consolidation adjacent to the wound with blunted right costophrenic angle. Subsequent CT scan confirms the consolidation adjacent to the bullet trajectory. This case report emphasizes on value of CT in ballistic chest trauma and indirect injury caused by the sonic pressure wave of the bullet.

摘要

在所有弹道损伤中都应考虑到声压波。我们回顾了一位患有侧胸壁弹道损伤的年轻男性。子弹轨迹穿过侧胸壁。胸部X光片显示伤口附近有楔形实变,右侧肋膈角钝。随后的CT扫描证实了子弹轨迹附近的实变。本病例报告强调了CT在弹道性胸部创伤以及子弹声压波所致间接损伤中的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b76/10241646/4a0694a17355/gr1.jpg

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本文引用的文献

1
Imaging Manifestations of Chest Trauma.
Radiographics. 2021 Sep-Oct;41(5):1321-1334. doi: 10.1148/rg.2021210042. Epub 2021 Jul 16.
2
Tomographic aspects of penetrating thoracic trauma: injuries from firearms and other weapons.
Radiol Bras. 2017 Nov-Dec;50(6):372-377. doi: 10.1590/0100-3984.2016.0167.

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