Radiologic findings of thoracic trauma
Yükleniyor...
Tarih
2017
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Dove Medical Press Ltd.
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Introduction: Chest trauma may be blunt or penetrating and the chest is the third most common
trauma region. It is a significant cause of mortality. Multidetector computed tomography (MDCT)
has been an increasingly used method to evaluate chest trauma because of its high success in
detecting tissue and organ injuries. Herein, we aimed to present MDCT findings in patients
with blunt and penetrating chest trauma admitted to our department.
Methods: A total of 240 patients admitted to the emergency department of our hospital between
April 2012 and July 2013 with a diagnosis of chest trauma who underwent MDCT evaluations
were included. Most of the patients were male (83.3%) and victims of a blunt chest trauma. The
images were analyzed with respect to the presence of fractures of bony structures, hemothorax,
pneumothorax, mediastinal organ injury, and pulmonary and vascular injuries.
Results: MDCT images of the 240 patients yielded a prevalence of 41.7% rib fractures, 11.2%
scapular fractures, and 7.5% clavicle fractures. The prevalence of thoracic vertebral fracture was
13.8% and that of sternal fracture was 3.8%. The prevalence of hemothorax, pneumothorax,
pneumomediastinum, and subcutaneous emphysema was 34.6%, 62.1%, 9.6%, and 35.4%,
respectively. The prevalence of rib, clavicle, and thoracic vertebral fractures and pulmonary
contusion was higher in the blunt trauma group, whereas the prevalence of hemothorax, subcutaneous emphysema, diaphragmatic injury, and other vascular lacerations was significantly
higher in the penetrating trauma group than in the blunt trauma group (p,0.05).
Conclusion: MDCT images may yield a high prevalence of fracture of bony structures, soft
tissue lacerations, and vascular lesions, which should be well understood by radiologists dealing
with trauma.
Açıklama
Anahtar Kelimeler
Multidetector computed tomography (D061330), Thoracic injuries (D013898) wounds, Nonpenetrating (D014949), Wounds, Penetrating (D014950)
Kaynak
Therapeutics and Clinical Risk Management
WoS Q Değeri
Q3
Scopus Q Değeri
Q1
Cilt
13
Sayı
Künye
Özmen, C. A., Onat, S. ve Ayçiçek, D. (2017). Radiologic findings of thoracic trauma. Therapeutics and Clinical Risk Management, 13, 1085-1089.
