CAUSES OF ERRONEOUS INTERPRETATION OF CHEST RADIOGRAMS IN SEVERE CONCOMITANT INJURIES
ПРИЧИНЫ ОШИБОЧНОЙ ИНТЕРПРЕТАЦИИ РЕНТГЕНОГРАММ ГРУДНОЙ КЛЕТКИ ПРИ ТЯЖЕЛЫХ СОЧЕТАННЫХ ПОВРЕЖДЕНИЯХ
Maksutovich M.M.
December 2022The Charity Fund of Clinical Center of Miners Health Protection
Polytrauma
2022Issue 466 - 72 pp.
Objective - to present the main stereotypes of perception of a chest radiograph, which make it difficult to diagnose injuries (pneumothorax, hemothorax, atelectasis, pulmonary contusion, diaphragmatic rupture) in closed chest injury with concomitant injuries. Materials. Chest radiographs of patients with severe concomitant injury in the supine position. Methods. Analysis of the diagnostic interpretation of the results of chest X-ray examination in patients with severe concomitant injury. Results. Four stereotypes associated with the perception and interpretation of complex radiographs in the supine position in patients with severe concomitant closed chest injuries were stated and described. Examples of the phenomenon of a small X-ray tense pneumothorax in case of a closed chest injury, which are practically not described in the literature, are given. Conclusion. Diagnostic interpretation of survey radiographs should take into account the data of an objective examination and saturation. Reasoning according to the established data must necessarily include the nature of positioning on radiography and the position of the mediastinum. When the image is associated with a bilateral damage, reasoning (if computed tomography is not possible) becomes leading in the diagnosis of chest injuries.
chest trauma , features of X-ray diagnostics , small tension pneumothorax , stereotypes
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National Scientific Center of Traumatology and Orthopedics named after academician Batpenov N.D., Astana, Kazakhstan
National Scientific Center of Traumatology and Orthopedics named after academician Batpenov N.D.
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