Citation

Chen X, Wang M, Hu B, Liu L, Meng W, Zhang T, Wang G. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2014; 32(3): 225-227.

Affiliation

Department of Radiology, China PingMei ShenMa Medical Group General Hospital, Pingdingshan, Henan Province 467000, China.

Copyright

(Copyright © 2014, Tianjin shi lao dong wei sheng yan jiu suo)

DOI

unavailable

PMID

24641859

Abstract

OBJECTIVE: To investigate the imaging features of burst injury of the lung in coal miners and to provide reference for clinical diagnosis and treatment.

METHODS: A retrospective analysis was performed on the clinical data and imaging findings of 78 patients with burst injury of the lung.

RESULTS: The imaging findings of burst injury of the lung were variable and complex, and they varied over time. Eleven cases showed no abnormalities on X-ray and CT within 24 h, but abnormalities appeared within 3 d; 53 cases showed abnormalities on X-ray and CT and had an exacerbation within 3 d; 8 cases showed improvements when reexamined. Among the 78 patients examined by X-ray and (or) CT, ground glass-like shadows were noted in 15 cases, interstitial changes in 13 cases, segmental consolidation in 24 cases, and diffuse consolidation in 26 cases. The complications included pneumothorax (n = 35), hemothorax (n = 28), costal fracture (n = 24), and pulmonary infection (n = 27).

CONCLUSION: X-ray plain film and CT offer a reliable basis for early diagnosis of burst injury of the lung. CT is superior to X-ray plain film in detecting lesions, so chest CT should be performed as early as possible to remedy burst injury of the lung.

Language: zh