title: [Imaging analysis of burst injury of the lungs in coal miners workers].
abstract: OBJECTIVE
  To investigate the imaging features of burst injury of the lung in coal miners and to provide reference for clinical diagnosis and treatment.
  
  
  METHODS
  A retrospective analysis was performed on the clinical data and imaging findings of 78 patients with burst injury of the lung.
  
  
  RESULTS
  The imaging findings of burst injury of the lung were variable and complex, and they varied over time. Eleven cases showed no abnormalities on X-ray and CT within 24 h, but abnormalities appeared within 3 d; 53 cases showed abnormalities on X-ray and CT and had an exacerbation within 3 d; 8 cases showed improvements when reexamined. Among the 78 patients examined by X-ray and (or) CT, ground glass-like shadows were noted in 15 cases, interstitial changes in 13 cases, segmental consolidation in 24 cases, and diffuse consolidation in 26 cases. The complications included pneumothorax (n = 35), hemothorax (n = 28), costal fracture (n = 24), and pulmonary infection (n = 27).
  
  
  CONCLUSIONS
  X-ray plain film and CT offer a reliable basis for early diagnosis of burst injury of the lung. CT is superior to X-ray plain film in detecting lesions, so chest CT should be performed as early as possible to remedy burst injury of the lung.
authors.affiliation: Department of Radiology, China PingMei ShenMa Medical Group General Hospital, Pingdingshan, Henan Province 467000, China.
authors.forename: Xinhui
authors.initials: X
authors.lastname: Chen
authors.affiliation: Department of Radiology, China PingMei ShenMa Medical Group General Hospital, Pingdingshan, Henan Province 467000, China.
authors.forename: Mingjun
authors.initials: M
authors.lastname: Wang
authors.affiliation: Department of Radiology, China PingMei ShenMa Medical Group General Hospital, Pingdingshan, Henan Province 467000, China.
authors.forename: Bing
authors.initials: B
authors.lastname: Hu
authors.affiliation: Department of Radiology, China PingMei ShenMa Medical Group General Hospital, Pingdingshan, Henan Province 467000, China.
authors.forename: Linhong
authors.initials: L
authors.lastname: Liu
authors.affiliation: Department of Radiology, China PingMei ShenMa Medical Group General Hospital, Pingdingshan, Henan Province 467000, China.
authors.forename: Weizheng
authors.initials: W
authors.lastname: Meng
authors.affiliation: Department of Radiology, China PingMei ShenMa Medical Group General Hospital, Pingdingshan, Henan Province 467000, China.
authors.forename: Ting
authors.initials: T
authors.lastname: Zhang
authors.affiliation: Department of Radiology, China PingMei ShenMa Medical Group General Hospital, Pingdingshan, Henan Province 467000, China.
authors.forename: Guizhi
authors.initials: G
authors.lastname: Wang
mesh_terms: D055371:Acute Lung Injury / Q000000981:diagnostic imaging*; D000328:Adult; D001753:Blast Injuries / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D060051:Occupational Injuries / Q000000981:diagnostic imaging*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D055815:Young Adult