世界最新医学信息文摘（电子版）
世界最新醫學信息文摘（電子版）
세계최신의학신식문적（전자판）
World Latest Medicine Information
2013年
21期
9-10
,共2页
超早期脑梗死%诊断分析%CT%PACS
超早期腦梗死%診斷分析%CT%PACS
초조기뇌경사%진단분석%CT%PACS
ultra-early infarction%diagnostic analysis%CT%PACS
目的：分析超早期脑梗死 CT 影像表现特点，在治疗时间窗内得到及时、准确诊断。方法回顾性分析2008年至2013年期间，我院确诊42例超早期脑大面积梗死患者的临床诊断资料，对这些患者发病后6h 内的 CT 影像进行分析，总结早期脑梗死在 CT 影像中的异常特征，以及 PACS 调出过往所做的头颅 CT 进行对比。结果在42例超早期大面积脑梗死患者 CT 影像中，出现异常特征的患者是27例，阳性率是64.28%，19例脑沟变窄、消失，9例脑室变窄及中线结构移位；12例脑实质密度减低；11例出现大脑中动脉高密度增征；15例脑池不对称，在 CT 表现为阴性患者中有3例曾经在我院行头颅 CT 检查，将发病早期 CT 与通过 PACS 系统调出的原片对比均发现有脑沟变窄征象。结论CT 影像对于超早期大面积脑梗死的诊断有重要意义，可以为诊断提供依据；通过 PACS 找到患者过往正常头颅 CT 影像进行对比，均发现脑沟变窄，为诊断超早期大面积脑梗死来提供强有力的补充依据。
目的：分析超早期腦梗死 CT 影像錶現特點，在治療時間窗內得到及時、準確診斷。方法迴顧性分析2008年至2013年期間，我院確診42例超早期腦大麵積梗死患者的臨床診斷資料，對這些患者髮病後6h 內的 CT 影像進行分析，總結早期腦梗死在 CT 影像中的異常特徵，以及 PACS 調齣過往所做的頭顱 CT 進行對比。結果在42例超早期大麵積腦梗死患者 CT 影像中，齣現異常特徵的患者是27例，暘性率是64.28%，19例腦溝變窄、消失，9例腦室變窄及中線結構移位；12例腦實質密度減低；11例齣現大腦中動脈高密度增徵；15例腦池不對稱，在 CT 錶現為陰性患者中有3例曾經在我院行頭顱 CT 檢查，將髮病早期 CT 與通過 PACS 繫統調齣的原片對比均髮現有腦溝變窄徵象。結論CT 影像對于超早期大麵積腦梗死的診斷有重要意義，可以為診斷提供依據；通過 PACS 找到患者過往正常頭顱 CT 影像進行對比，均髮現腦溝變窄，為診斷超早期大麵積腦梗死來提供彊有力的補充依據。
목적：분석초조기뇌경사 CT 영상표현특점，재치료시간창내득도급시、준학진단。방법회고성분석2008년지2013년기간，아원학진42례초조기뇌대면적경사환자적림상진단자료，대저사환자발병후6h 내적 CT 영상진행분석，총결조기뇌경사재 CT 영상중적이상특정，이급 PACS 조출과왕소주적두로 CT 진행대비。결과재42례초조기대면적뇌경사환자 CT 영상중，출현이상특정적환자시27례，양성솔시64.28%，19례뇌구변착、소실，9례뇌실변착급중선결구이위；12례뇌실질밀도감저；11례출현대뇌중동맥고밀도증정；15례뇌지불대칭，재 CT 표현위음성환자중유3례증경재아원행두로 CT 검사，장발병조기 CT 여통과 PACS 계통조출적원편대비균발현유뇌구변착정상。결론CT 영상대우초조기대면적뇌경사적진단유중요의의，가이위진단제공의거；통과 PACS 조도환자과왕정상두로 CT 영상진행대비，균발현뇌구변착，위진단초조기대면적뇌경사래제공강유력적보충의거。
Objective To analyze the performance of ultra-early cerebral CT imaging features , timely and accurate diagnosis within the therapeutic time window . Methods A retrospective analysis of the period 2008 to 2013 , 42 cases diagnosed in our hospital over a large area of early clinical diagnosis of cerebral infarction in patients with information on the CT images within 6h after the onset of these patients were analyzed , summarized in the CT images of early cerebral infarction the anomaly , as well as bring up the past made PACS cranial CT were compared. Results In 42 cases over a large area of early CT imaging in patients with cerebral infarction , occurs in patients with abnormal characteristics of 27 cases, the positive rate was 64.28%, 19 cases of sulci narrowed and disappeared , nine cases ventricle narrows and midline shift ; 12 cases reduce parenchymal density;11 cases of cerebral artery appears high density increased levy ; 15 cases of cerebral asymmetry pool , there are three cases negative patients in our hospital had head CT , CT is in the incidence of early CT findings and by comparing the original film PACS systems were found to have transferred out of the sulci narrowed signs. Conclusion CT imaging for ultra- large cerebral infarction early diagnosis is important and can provide a basis for diagnosis ; through PACS find past normal cranial CT images of patients were compared , were found sulci narrow, ultra-early diagnosis massive cerebral infarction to provide a strong complement basis.
