Mirvis S E, Rodriguez A, Whitley N O, Tarr R J
AJR Am J Roentgenol. 1985 Jun;144(6):1183-7. doi: 10.2214/ajr.144.6.1183.
Thirty-seven septic patients with major multisystem trauma were evaluated by computed tomography (CT) to identify possible thoracic sources of infection. CT was 72% accurate in the diagnosis of empyema and 95% accurate in the diagnosis of lung abscess. While CT proved useful in demonstrating these sites of thoracic infections in septic trauma victims, the presence of concurrent thoracic pathology, particularly loculated hemothorax or hemopneumothorax and traumatic lung cysts with hemorrhage or surrounding parenchymal consolidation, introduced sources of diagnostic error. CT also proved helpful in guiding appropriate revisions of malpositioned and occluded thoracostomy tubes.
对37例患有严重多系统创伤的脓毒症患者进行了计算机断层扫描（CT）检查，以确定可能的胸部感染源。CT诊断脓胸的准确率为72%，诊断肺脓肿的准确率为95%。虽然CT被证明有助于在脓毒症创伤患者中显示这些胸部感染部位，但同时存在的胸部病变，特别是局限性血胸或血气胸以及伴有出血或周围实质实变的创伤性肺囊肿，会引入诊断误差。CT也被证明有助于指导对位置不当和堵塞的胸管进行适当的调整。
