Diagnosis of acute thoracic aortic injuries after blunt trauma by electron beam computed tomography

DU Wei-qing; SUN Li-jun; DU Xiao-ping; ZHENG Min-wen; XU Jun-qing; ZHA0 Hong-liang; LI Jian

Journal of China Clinic Medical Imaging ›› 2006, Vol. 17 ›› Issue (10) : 595-597.

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Diagnosis of acute thoracic aortic injuries after blunt trauma by electron beam computed tomography

DU Wei-qing1, SUN Li-jun1, DU Xiao-ping2, ZHENG Min-wen1, XU Jun-qing1, ZHA0 Hong-liang1, LI Jian1

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Abstract

Objective: To evaluate the diagnostic value of electron beam computed tomography(EBCT) in acute thoracic aortic injuries(ATAI). Methods: Contrast-enhanced EBCT was carried out by Imatron C-150 system. Eleven patients with blunt chest trauma were scanned by EBCT with continuous volume scanning. Results: Eleven cases including 1 ascending aorta rupture, 6 aortic pseudoaneurysms, 3 aortic dissections and 1 aortic intramural hematoma were analyzed retrospectively. EBCT not only clearly showed imaging signs of ATAI, but also showed other thoracic injuries: subcutaneous emphysema, fractures of ribs, pneumothorax, pleural effusion and so on. Conclusion: EBCT is a fast and noninvasive diagnostic tool for thoracic emergency, and could show imaging features of ATAI.

Key words

wounds and injuries / aorta / tomography / X-ray computed

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DU Wei-qing;SUN Li-jun;DU Xiao-ping;ZHENG Min-wen;XU Jun-qing;ZHA0 Hong-liang;LI Jian. Diagnosis of acute thoracic aortic injuries after blunt trauma by electron beam computed tomography[J]. Journal of China Clinic Medical Imaging. 2006, 17(10): 595-597