摘要
目的:探究应用stellar光子双源CT在急诊胸痛三联征中的临床诊断评价。方法:选择2015年9月1日-2017年3月1日,在我院收治以急性胸痛为主的患者35例,采用stellar光子双源CT检查,利用多平面重组、曲面重组、最大密度投影等技术显示胸主动脉、肺动脉和冠状动脉,同时评价图像质量能否满足临床的诊断需求。结果:33例患者出现异常,2例患者正常,异常患者包括冠状动脉狭窄≥50%的患者17例,动脉栓塞10例,主动脉夹层4例(累积腹主动脉共2例,壁间血肿1例),气胸1例,动脉瘤1例。结论 :stellar光子双源CT可以顺利、清晰的一次性完成冠状动脉、胸主动脉和肺动脉扫描检查,图像质量能够满足急诊病人临床的诊断需要,在急诊诊断急性胸痛的患者中具有较高的临床应用价值。
Objective： To explore the clinical evaluation of stellar photon dual source CT in the diagnosis of acute chest pain. Methods： A total of 35 patients with acute chest pain were enrolled in this study from September 1, 2015 to March 1, 2017,35 patients with acute chest pain were treated with stellar photon dual source CT, using multi-planar recombination, surface recombination, maximum density projection showing the thoracic aorta, pulmonary artery and coronary artery, and evaluate whether the image quality meets the clinical diagnostic needs. Results： 33 patients were abnormal, 2 patients were normal, abnormal patients, including coronary artery stenosis ≥50% of patients in 17 cases, 10 cases of arterial embolization, 4 cases of aortic dissection（cumulative abdominal aorta in 2cases, 1 case of interstitial hematoma）, pneumothorax in 1 case, aneurysm in 1 case. Conclusion：Stellar photon dual source CT can be successfully and clearly one time completion of coronary artery,thoracic aorta and pulmonary artery scan, image quality to meet the clinical needs of emergency patients in the emergency diagnosis of acute chest pain in patients with high clinical value.
作者
范丹丹
刘俊丽
王晓闪
韩星航
韩庆元
FAN Dan-dan LIU Jun-li WANG Xiao-shan HAN Xing-hang HAN Qing-yuan(Department of Medical Imaging, Zhengzhou Sixteenth People Hospital, Zhengzhou 452470, Chin)
出处
《影像技术》
CAS
2017年第4期44-45,11,共3页
Image Technology
关键词
光子双源CT
胸痛三联征
诊断
Photon Dual Source CT
Chest Pain Triple Sign
Diagnosis
