Computed tomography in blunt chest trauma.
Article
in English
| IMSEAR
| ID: sea-138725
ABSTRACT
Objective. To assess the role of multidetector spiral CT in patients with blunt chest trauma. Methods. Forty-two patients (38 males and four females), age range from 6 to 80 years, of blunt chest trauma were evaluated with multidetector computed tomogram (MDCT) after initial radiographs and the results were tabulated. Results. The most common mode of injury was motor vehicle accidents (64%). On computed tomography (CT), major injuries were haemothorax (83.33%), consolidation (66.6%), rib fractures (61.90%), pneumothorax (54.76%), diaphragmatic injury (30.95%), lung contusions (28.57%), spinal injury (16.66%), lacerations (9.52%), tracheo-bronchial injury (4.76%), mediastinal haematoma (4.76%), thoracic-aortic injury (4.76%) and oesophageal injury (2.38%). Operative intervention was performed in 11 (26.19%) patients. Of these, diaphragmatic rent repair was done in seven patients (63.63%), exploratory laparotomy alone was done in two (18.18%) and resection and anastomosis and polytetrafluoroethylene graft in one patient each. Three patients each with chest wall injury, thoracic vascular injury and diaphragmatic injury died; while only one patient with lung injury died. Conclusion. Multidetector computed tomogram is the modality of choice for rapid assessment of emergency chest trauma patients.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Thoracic Injuries
/
Wounds, Nonpenetrating
/
Aged, 80 and over
/
Viscera
/
Aged
/
Female
/
Humans
/
Male
/
Diaphragm
/
Tomography, X-Ray Computed
Type of study:
Diagnostic study
Limits:
Aged80
Language:
English
Year:
2009
Type:
Article
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