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Journal of the Korean Society of Traumatology 2009;22(2):142-147.
Diagnostic Usefulness of Computed Tomography Compared to Conventional Chest X-Ray for Chest Trauma Patients
Kyu Ill Choi, Kang Suk Seo, Hyun Wook Ryoo, Jung Bae Park, Jae Myung Chung, Jae Yoon Ahn, Seong Won Kang, Jae Hyuck Yi
1Department of Emergency Medicine, College of Medicine, Kyungpook National University, Daegu, Korea. kssuh@knu.ac.kr
2Department of Radiology, College of Medicine, Kyungpook National University, Daegu, Korea.
흉부 외상 환자에서 일반흉부촬영과 비교한 흉부단층촬영의 진단적 유용성
최규일∙서강석∙류현욱∙박정배∙정제명∙안재윤∙강성원∙이재혁¹
경북대학교 의과대학 응급의학교실, 경북대학교 의과대학 영상의학교실¹
Abstract
PURPOSE
Early diagnosis and management of therapeutic interventions are very important in chest trauma. Conventional chest X-rays (CXR) and computed tomography (CT) are the diagnostic tools that can be quickly implemented for chest trauma patients in the emergency department. In this study, the usefulness of the CT as a diagnostic measurement was examined by analyzing the ability to detect thoracic injuries in trauma patients who had visited the emergency department and undergone CXR and CT.
METHODS
This study involved 84 patients who had visited the emergency department due to chest trauma and who had undergone both CXR and CT during their diagnostic process. The patients' characteristics and early vital signs were examined through a retrospective analysis of their medical records, and the CXR and the CT saved in the Picture Archiving Communication System (PACS) were examined by a radiologist and an emergency physician to verify whether or not a lesion was present.
RESULTS
Pneumothoraxes, hemothoraxes, pneumomediastina, pulmonary lacerations, rib fractures, vertebral fractures, chest wall contusions, and subcutaneous emphysema were prevalently found in a statistically meaningful way (p<0.05) on the CT. Even though their statistical significance couldn't be verified, other disorders, including aortic injury, were more prevalently found by CT than by CXR.
CONCLUSION
CT implemented for chest trauma patients visiting the emergency department allowed disorders that couldn't be found on CXR to be verified, which helped us to could accurately evaluate patients.
Key Words: Thoracic injuries; Chest x-ray; X-ray tomography; Computed tomography


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