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戚跃勇,邹利光,张冬,周宇,陈轶,梅文铭,孙清荣,张启川.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,ZHOU Yue,CHEN Yi,MEI Wen-ming,SUN Qing-rong,ZHANG Qi-chuan.Imaging features of the earthquake-related injuries[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(20):1952-1954.
戚跃勇,邹利光,张冬,周宇,陈轶,梅文铭,孙清荣,张启川.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. DOI:
QI Yue-yong,ZOU Li-guang,ZHANG Dong,ZHOU Yue,CHEN Yi,MEI Wen-ming,SUN Qing-rong,ZHANG Qi-chuan.Imaging features of the earthquake-related injuries[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(20):1952-1954. DOI:
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。
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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