Multiple injuries floating rib off X-Analysis of 8 cases of missed diagnosis.doc

 PAGE \* MERGEFORMAT 6 Multiple injuries floating rib off X-Analysis of 8 cases of missed diagnosis OF: He entered, Huang Jian, Zhong Anjun, knife into the river, Yang Jun Bi [Keywords:] multiple trauma, floating ribs folding, X ray missed In multiple trauma, the floating rib fractures is not easy, once the fracture is easy to overlook, X-ray examination can easily lead to misdiagnosis improper, the 8 patients were not floating off the ribs to make timely diagnosis, 8 cases were completed in 7 to 30 days after the abdominal Photo when plain film diagnosis. are as follows. 1 Clinical data 1.1 general The 8 patients, 7 were males and 1 female, aged 19 to 46 years old. An average of 35 years. By the car accident injury, fall injury, falls due. .8 Emergency patients were admitted to hospital with multiple injuries, had chest trauma, 2 cases of hepatic rupture, 2 cases with splenic injury, and 1 with left renal contusion, and 1 with vertebral compression fractures and pneumothorax, and 1 with basal skull fracture, and 1 with the right femoral neck fracture and multiple soft tissue injury . These are real organ damage, or B-CT diagnosis. 1.2 X-ray examination Since 8 patients had chest injuries, were taken so there is lateral chest film, 8 cases of rib fracture in varying degrees, at least those as a rib fracture, who was 11 at most, one side up to six persons, but 8 cases were not found floating off the ribs. 1.3 Results In the 8 patients were taken 7 to 30 days after the abdominal plain film lumbar radiograph, abdominal CT only found off the floating ribs to make the diagnosis. 2 Discussion 2.1 missed diagnosis Through this group of cases a retrospective analysis, we believe that floating ribs off the missed diagnosis has the following 3 points: (1 because of multiple trauma, severe illness, clinical care is less than the floating ribs off the consideration, or were often combined with other parts of the serious fractures can