Woodring J H, Pulmano C M, Stevens R K
Radiology. 1982 Jun;143(3):605-8. doi: 10.1148/radiology.143.3.7043644.
Supine chest radiographs and thoracic arteriograms were obtained in 102 consecutive patients with blunt chest trauma. The initial chest radiographs were reviewed retrospectively without knowledge of the arteriographic findings, and measurements of the right paratracheal stripe were obtained. All patients with right paratracheal stripes less than 5 mm in width had normal arteriograms. In those patients in whom the right paratracheal stripe measured 5 mm or greater, arteriography revealed major arterial injury in 22.9% of cases. It is concluded that measurement of the right paratracheal stripe on supine 102-cm radiographs provides a reliable and quantitative indicator of mediastinal hemorrhage, allowing early arteriographic evaluation.
对102例连续性钝性胸部创伤患者进行了仰卧位胸部X线片和胸部动脉造影检查。在不知道动脉造影结果的情况下，对最初的胸部X线片进行了回顾性分析，并测量了右气管旁条纹。所有右气管旁条纹宽度小于5mm的患者动脉造影均正常。在右气管旁条纹测量值为5mm或更大的患者中，动脉造影显示22.9%的病例存在主要动脉损伤。结论是，在仰卧位102cm X线片上测量右气管旁条纹可提供纵隔出血的可靠定量指标，便于早期进行动脉造影评估。
