Wenz W, Klöhn I, Wolfart W
Radiologe. 1979 Jun;19(6):201-13.
In chest trauma, a routine chest film, preferably in the lateral as well as the frontal projection, is the basic part of the work-up. Occasionally valuable additional methods are fluoroscopy, tomography, bronchography, contrast studies of the GI Tract and angiography and angiocardiography. In 679 chest trauma patients, traffic accidents and falls were the main reason for the trauma. There were 248 fractures; then - in order of frequency - hemopneumothorax (76), lung contusion (58), subcutaneous emphysema (33) cardiac (16) and vascular trauma (12) and damage to other organs. While 20--30% mistakes are made in diagnosing rib fractures in acute trauma, there is high accuracy in the diagnosis of the other injuries. Many cases are shown to demonstrate the value of diagnostic radiology.
在胸部创伤中，常规胸部X线片，最好是正位和侧位投照，是检查的基本部分。偶尔，有价值的辅助检查方法包括荧光透视、体层摄影、支气管造影、胃肠道造影以及血管造影和心血管造影。在679例胸部创伤患者中，交通事故和跌倒为创伤的主要原因。有248例骨折；其次——按发生频率排序——血气胸（76例）、肺挫伤（58例）、皮下气肿（33例）、心脏（16例）和血管创伤（12例）以及其他器官损伤。虽然在急性创伤中肋骨骨折的诊断有20% - 30%的误诊率，但对其他损伤的诊断准确性较高。展示了许多病例以说明诊断放射学的价值。
