Role of Computed Tomography in Blunt Chest Trauma.
10.3348/jkrs.1994.30.6.1045
- Author:
Sang Jin KIM
;
Jae Hyun CHO
;
Chan Wha LEE
;
Hae Kyoon KIM
- Publication Type:Original Article
- MeSH:
Chest Tubes;
Contusions;
Hemopneumothorax;
Hemothorax;
Humans;
Lacerations;
Lung;
Pulmonary Atelectasis;
Thoracic Wall;
Thorax*;
Tomography, X-Ray Computed
- From:Journal of the Korean Radiological Society
1994;30(6):1045-1049
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: In patient with blunt trauma of chest, supine AP x-ray cannot differenciate the lung contusion, laceration, atelectasis, and hemothorax definitely. Therefore, computed tomographic evaluation is needed for accurate evaluation of the injuries. In our knowledge, there are few reports about CT findings of blunt chest trauma, in our country, therefore we tried to fiud the characteristic CT findings in patients with blunt trauma. MATERIALS AND METHODS: We analyzed the plain x-ray and CT image of 4 patient with blunt chest trauma. Location and morphology of lung parenchymal contusion and laceration, hemopneumothorax, chest wall injuries and location of chest tube. RESULTS: Lung parenchymal contusion was noted in 53 segments. of 16 patiants'infiltration(n=27 segment), and multiple nodular pattern was noted in 15 segment, pattern of consolidation along the lung periphery was seen in 11 segment. Laceration was noted in 18 lesion and most commonly located in paravertebral area(b=8). CONCLUSION: CT scan of chest in patient with blunt chest trauma, provides accurate informations of the pattern of injuries, and localization, therefore, should be performed as po9ssible.
