Accuracy of chest radiography versus chest computed tomography in hemodynamically stable patients with blunt chest trauma

作     者：Mojtaba Chardoli Toktam Hasan-Ghafiaee, Hesam Akbari Vafa Rahimi-Movaghat 

作者机构：Emergency Medicine Sina Hospital Tehran Universityof Medical Sciences Tehran 11365-3876 Iran Sina Hospital Tehran University of Medical SciencesTehran 11365-3876 Iran Sina Trauma and Surgery Research Center SinaHospital Students Scientific Research Center TehranUniversity of Medical Sciences Tehran 11365-3876 Iran Sina Trauma and Surgery Research Center SinaHospital Tehran University of Medical Sciences Tehran11365-38761ran 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2013年第16卷第6期

页      面：351-354页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Radiography Thoracic injuries Tomography, X-ray computed 

摘      要：Objective：Thoracic injuries are responsible for 25% of deaths of blunt *** X-ray （CXR） is the first diagnostic method in patients with blunt *** aim of this study was to detect the accuracy of CXR versus chest computed tomograpgy （CT） in hemodynamically stable patients with blunt chest ***：Study was conducted at the emergency department of S ina Hospital from March 2011 to March *** stable patients with at least 16 years of age who had blunt chest trauma were *** patients underwent the same diagnostic protocol which consisted of physical examination,CXR and CT scan ***：Two hundreds patients （84% male and 16% female） were included with a mean age of（37.9±13.7） *** fracture was the most common finding of CXR （12.5%） and CT scan （25.5%）.The sensitivity of CXR for hemothorax,thoracolumbar vertebra fractures and rib fractures were 20%,49% and 49%,***,foreign body,emphysema,pulmonary contusion,liver hematoma and sternum fracture were not diagnosed with CXR ***：Applying CT scan as the first-line diagnostic modality in hemodynamically stable patients with blunt chest trauma can detect pathologies which may change management and outcome.