目的 探讨DR和螺旋CT在急诊 胸腹部创伤中的临床诊断效果及应用价 值。方法 选取2011年1月到2015年3月我 院收治的190例急诊胸腹部创伤患者资料 进行分析，入选患者均采用DR及其CT诊 断，分析患者DR及其CT影像学表现，研 究DR和螺旋CT在急诊胸腹部创伤中的临 床诊断效果及应用价值。结果 两种诊 断方法对于肺挫伤、纵隔气肿、皮下气 肿、肋骨骨折、胸腔积液、气胸以及膈 肌损伤诊断差异不显著(P>0.05)；CT诊 断方法确诊率均能够达到100%，显著高 于DR诊断方法(P<0.05)。结论 急诊胸腹 部创伤患者诊断过程中采用螺旋CT诊断 效果理想，该诊断方法具有较高的准确 率，能够对创伤部位进行精确定位和评 估，值得推广使用。

Objective To investigate the clinical diagnostic value of DR and spiral CT in emergency thoracic and abdominal trauma. Methods From January 2011 to 190 cases of thoracic and abdominal trauma patients admitted to our hospital in March 2015 were analyzed, the patients were selected by DR and CT in the diagnosis and imaging findings in patients with DR and CT analysis, clinical effect and application value of DR and spiral CT in thoracic and abdominal trauma in emergency. Results Two kinds of diagnostic methods for lung contusion, mediastinal emphysema, subcutaneous emphysema, rib fracture, pleural effusion, pneumothorax and diaphragmatic injury diagnosis had no significant difference (P>0.05). CT method of diagnosis rate can reach 100%, significantly higher than the diagnostic method of DR (P<0.05). Conclusion The ideal effect of spiral CT in the diagnosis of emergency abdominal trauma patients in the diagnosis process, the accuracy rate of the diagnosis method is high, can accurately locate and evaluate the trauma, is worthy to be popularized.