ABSTRACT
Spiral computed tomography of the thorax was used in 112 patients with mechanical trauma. High efficacy of this method in diagnosis of fracture of posterior and lateral costal parts (69.6%), pneumo- and hydrothorax (100%), traumatic infiltration and gas-filled cysts of the lung (100%), pulmonary hematoma (90%) was demonstrated. Localization of bone fragments in pleural cavity (100%) had special significance. It is demonstrated that the method has low efficacy in the diagnosis of injuries of anterior costal part and sternum (49.3 and 20%). Indications for this method were formulated. The results of the study recommend spiral computed tomography as a priority diagnostic method in combined trauma of the chest.
Subject(s)
Multiple Trauma/complications , Thoracic Injuries/diagnostic imaging , Tomography, Spiral Computed , Adult , Female , Follow-Up Studies , Humans , Male , Middle Aged , Multiple Trauma/diagnostic imaging , Reproducibility of Results , Retrospective Studies , Thoracic Injuries/etiology , Trauma Severity IndicesABSTRACT
The paper presents the data available in the literature on computed tomographic angiography and the first experience with it to study thoracic vessels. It details the principles of spiral computed tomography and CT angiography. Practical aspects of their implementation, as well as basic concepts are outlined. It is concluded that CT angiography is promising in studying thoracic vessels in various abnormalities.
Subject(s)
Angiography/methods , Thoracic Arteries/diagnostic imaging , Thorax/blood supply , Tomography, X-Ray Computed/methods , Adult , Aged , Female , Humans , Male , Middle Aged , Thoracic Diseases/diagnostic imaging , VeinsABSTRACT
The purpose of the study was to evaluate the potentialities of spiral computed tomography (SCT) in recognizing some symptoms of injury-induced chest changes, to define differential diagnostic signs of some complications occurring in the posttraumatic period. Thirty one studies were made in 23 victims with severe mixed chest injury upon their admissions and during follow-ups. CT data were analyzed on axial slices by means of multiplanar and three-dimensional reconstructions. CT angiography was applied in 8 cases. The CT picture of some pathological symptoms of chest injuries, injury complications, their differential diagnostic criteria were outlined.
