CAJ | 학술논문

目的：探讨320排 CT 血管造影（ computed tomography angiography，CTA）在动脉瘤性蛛网膜下腔出血（ aneurysmal subarachnoid hemorrhage，aSAH）中的应用效果。方法对2013年8-12月收治的32例自发性SAH患者行320排 CTA检查及治疗情况进行回顾性分析。结果32例均行320排 CTA 检查，未发现动脉瘤的11例治疗2周后行数字减影血管造影检查仍未发现颅内动脉瘤。发现的21例颅内动脉瘤，术后1~2周行320排 CTA 及 CT 脑灌注检查均显示脑血流量及脑血容量的异常，其中1例死于多器官功能衰竭。结论320排 CTA 是一种简便、快速、无创的诊断手段，可为 aSAH的诊治及术后观察提供重要信息。
목적：탐토320배 CT 혈관조영（ computed tomography angiography，CTA）재동맥류성주망막하강출혈（ aneurysmal subarachnoid hemorrhage，aSAH）중적응용효과。방법대2013년8-12월수치적32례자발성SAH환자행320배 CTA검사급치료정황진행회고성분석。결과32례균행320배 CTA 검사，미발현동맥류적11례치료2주후행수자감영혈관조영검사잉미발현로내동맥류。발현적21례로내동맥류，술후1~2주행320배 CTA 급 CT 뇌관주검사균현시뇌혈류량급뇌혈용량적이상，기중1례사우다기관공능쇠갈。결론320배 CTA 시일충간편、쾌속、무창적진단수단，가위 aSAH적진치급술후관찰제공중요신식。
Objective To explore the application effect of 320-slice computed tomography angiography(CTA) in aneurysmal subarachnoid hemorrhage( aSAH). Methods A total of 32 patients with spontaneous aSAH from August to December 2013 received 320-slice CTA examination,and the clinical data was retrospectively analyzed. Results All the 32 patients underwent 320-slice CTA examination,and 11 patients without aneurysm received digital subtraction angi-ography( DSA)examination 2 weeks after treatment,but the intracranial aneurysm was not found in the 11 patients. The 21 patients with intracranial aneurysm underwent 320-slice CTA and CT cerebral perfusion examinations 1-2 weeks after the operation,and the results showed abnormal cerebral blood volume( CBV)and cerebral blood volume( CBF),and one patient died of multiple organ failure. Conclusion 320-slice CTA is a simple,fast and atraumatic diagnostic meth-od,which can provide important data in diagnosing aSAH and observing postoperative conditions.