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This study was designed to explore the diagnostic value of multi-slice spiral CT (MSCT) scanning in lung compression ratio of patients with pulmonary contusion complicated by pneumothorax or hydropneumothorax. Seventy-eight patients with pulmonary contusions complicated by pneumothorax or hydropneumothorax treated in the Department of Emergency Surgery of our hospital were examined by CT and X-ray, and the diagnostic value of these two methods was observed. The correlation of lung compression ratio measured by multiplanar reconstruction