Evaluation of the Spiral Chest CT Scan Findings in Patients with Multiple Trauma.

Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI:10.30476/BEAT.2023.97214.1402

Ramin Ebrahimian, Zoubin Souri, Alireza Feizkhah, Mohammadreza Mobayen, Habib Eslami Kenarsari, Mojdeh Esmailzadeh, Mohsen Ghorbani, Soroush Mirhedayati, Parissa Bagheri Toolaroud

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Abstract

Objective: To evaluate the spiral chest computed tomography (CT) scan findings in patients with multiple trauma during the COVID-19 pandemic.

Methods: This retrospective study was performed on multiple trauma patients admitted to a tertiary hospital in the north of Iran in 2020. All patients with multiple trauma who had undergone a chest spiral CT were included in this study. Furthermore, the data analysis was performed through descriptive and analytical statistics using SPSS software.

Results: A total of 600 patients were included over the study period. The mean age of patients was 48.2±20.3 years. Of the total, 496 (65.3%) patients had blunt chest injuries, and 104 (34.7%) had penetrating chest injuries. Falling was the most common mechanical cause of chest trauma in 270 patients (45%). Surgical interventions were performed in 110 (18.3%) patients. A total of 276 (46%) patients had chest injuries identified by CT scans. Many patients (15.6%) had ground-glass lung opacity in the CT scan reports. Lung consolidation, pneumothorax, lung contusion, hemothorax, and rib fractures were the most common.

Conclusion: Due to the high frequency of typical findings in spiral CT scan examinations, obtaining a reliable history of trauma severity, injury mechanism, and a detailed physical examination is recommended before prescribing a CT scan for patients.

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多发创伤患者胸部螺旋CT表现的评价。

目的:探讨新型冠状病毒肺炎(COVID-19)大流行期间多发创伤患者的胸部螺旋CT扫描表现。方法:对2020年伊朗北部一家三级医院收治的多例创伤患者进行回顾性研究。所有接受胸部螺旋CT检查的多发创伤患者均纳入本研究。此外，数据分析采用SPSS软件进行描述性统计和分析性统计。结果:研究期间共纳入600例患者。患者平均年龄48.2±20.3岁。其中钝性胸伤496例(65.3%)，穿透性胸伤104例(34.7%)。270例(45%)患者中，跌倒是造成胸部创伤最常见的机械原因。110例(18.3%)患者接受手术干预。共有276例(46%)患者通过CT扫描发现胸部损伤。在CT扫描报告中，许多患者(15.6%)有磨玻璃肺混浊。肺实变、气胸、肺挫伤、血胸和肋骨骨折是最常见的。结论:由于螺旋CT扫描检查中典型表现的频率较高，建议在给患者开CT扫描处方前，获得可靠的创伤严重程度史、损伤机制和详细的体格检查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Bulletin of emergency and trauma

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： BEAT: Bulletin of Emergency And Trauma is an international, peer-reviewed, quarterly journal coping with original research contributing to the field of emergency medicine and trauma. BEAT is the official journal of the Trauma Research Center (TRC) of Shiraz University of Medical Sciences (SUMS), Hungarian Trauma Society (HTS) and Lusitanian Association for Trauma and Emergency Surgery (ALTEC/LATES) aiming to be a publication of international repute that serves as a medium for dissemination and exchange of scientific knowledge in the emergency medicine and trauma. The aim of BEAT is to publish original research focusing on practicing and training of emergency medicine and trauma to publish peer-reviewed articles of current international interest in the form of original articles, brief communications, reviews, case reports, clinical images, and letters.