SHOULD COMPUTED TOMOGRAPHY BE THE FIRST CHOICE IN BLUNT CHEST TRAUMA?
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Tarih
2018
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Nobel Ilac
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
U Objective: We aimed to determine whether thorax tomography, which can be chosen as the first imaging method in blunt thoracic injuries early for and accurate diagnosis, has superiority to chest radiography. Material and Method: Patients who referred to Emergency Service between January 1st, 2011 and December 31st, 2013 with blunt chest trauma were evaluated. The examination was performed retrospectively. Results: 131 (75.3%) of blunt chest trauma patients were male. The mean age of the cases was 44.7 +/- 19.1. When trauma mechanisms leading to chest trauma were discussed, the most common cause of trauma in-vehicle was traffic accidents in 63 (36.2%) cases. There were 40 patients (28.5%) with normal radiography and pathologic findings in chest computed tomography. It was seen that costa fractures were the pathologies which escaped the attention most commonly in radiography and detected in computed tomography imaging in 27 (67%) of 40 cases. Pathologies not seen in radiography were pneumothorax in 12 cases (30%), hemothorax in 9 cases (22.5%) and sternum fracture in 3 cases (7.5%). Discussion: In conclusion, it would be useful to use thorax tomography as the primary imaging, especially in blunt chest trauma in emergency care, to be able to intervene quickly.
Açıklama
Anahtar Kelimeler
Thoracic injuries wounds, nonpenetrating, tomography, X-ray computed, thorax
Kaynak
Nobel Medicus
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
14
Sayı
2
