[1]戚跃勇,邹利光,张冬,等.143例地震伤的影像诊断特点[J].陆军军医大学学报(原第三军医大学学报),2008,30(20):1952-1954.
　QI Yue-yong,ZOU Li-guang,ZHANG Dong,et al.Imaging features of the earthquake-related injuries[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(20):1952-1954.
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陆军军医大学学报（原第三军医大学学报）[ISSN:1000-5404/CN:51-1095/R]

卷:
30卷
期数:
2008年第20期
页码:
1952-1954
栏目:
特别报道
出版日期:
2008-10-30

文章信息/Info

Title:
Imaging features of the earthquake-related injuries
作者:
戚跃勇; 邹利光; 张冬; 周宇; 陈轶; 梅文铭; 孙清荣; 张启川
第三军医大学新桥医院放射科
Author(s):
QI Yue-yong;  ZOU Li-guang;  ZHANG Dong;  ZHOU Yue;  CHEN Yi;  MEI Wen-ming;  SUN Qing-rong;  ZHANG Qi-chuan
Department of Radiology, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China
关键词:
地震伤; 体层摄影术; X线计算机; 多层螺旋CT; 三维重建
Keywords:
injury in earthquake;  tomography;  X-ray computer;  multislice spiral CT;  3-D reconstruction
分类号:
R445；R641
文献标志码:
A
摘要:
回顾性分析143例地震伤的影像学及临床资料，以探讨地震伤的影像诊断特点。143例患者均行X线平片检查，78例行CT检查，19例行MRI检查。四肢骨折81例，单发骨折34例，多发骨折47例，开放性骨折6例，闭合性骨折75例。关节脱位14例，软组织内异物5例，膝关节半月板损伤1例，气性坏疽1例。脑硬膜外血肿4例，颅内血肿2例，脑挫裂伤9例，肾挫伤2例、肝挫伤1例。22例脊椎地震伤患者中, 脊椎压缩骨折20例，爆裂性骨折2例。单发椎体骨折12例，多发椎体骨折10例，共累及31个椎体。31个椎体骨折中，颈椎3个，胸椎12个，腰椎14个，骶椎2个。30例胸部地震伤均为复合伤，其中肋骨骨折18例，胸椎骨折8例，肩胛骨骨折3例，锁骨骨折3例，胸骨骨折1例，胸壁软组织伤5例，肺挫裂伤5例，肺内血肿1例，肺部感染4例，气胸及液气胸6例，双侧胸腔积液1例。
Abstract:
To explore the imaging features of the earthquake-related injuries, 143 patients who survived the earthquake but suffered from the injuries were retrospectively analyzed. All patients underwent X-ray plain film examination, some of whom were performed CT (n=78) and/or MRI (n=19).  Among the 81 cases of limb bone fracture, there were the single-level fracture (n=34), multiple-level fracture (n=47), compound fracture (n=6), and closed fracture (n=75), dislocation of joint (n=14), foreign body in soft tissue (n=5), meniscus of knee joint (n=1), gaseous gangrene (n=1), epidural hematoma (n=4), intracranial hematoma (n=2), contusion and laceration of brain (n=9), contusion of kidney (n=2) and contusion of liver (n=1). In the 22 cases of the earthquake-related vertebral injury, there were the vertebral compression fracture (n=20), vertebral bursting fracture (n=2), single-level vertebral fracture (n=12), and multiple-level vertebral fracture (n=10). Among the 31 vertebral bodies of fracture, the fracture of ceruical vertebra, thoracic vertebra, lumbar vertebra and sacral vertebra was found in 3, 12, 14, 2 vertebral bodies, respectively. All of the 30 cases of the earthquake-related thoracic injury were the combined injury, including the fracture of rib (n=18), thoracic vertebral fracture (n=8), fracture of shoulder blade (n=3), fracture of clavicle (n=3), fracture of sternum (n=1), soft tissue injury of chest wall (n=5), contusion of lung (n=5), hematoma of lung (n=1), pulmonary infection (n=4), pneumatothorax and hydropneumothorax (n=6) and pleural effussion (n=1).

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更新日期/Last Update: 2008-10-10