中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
4期
524-525
,共2页
宋同均%魏建功%王士强%刘道斌%董世节
宋同均%魏建功%王士彊%劉道斌%董世節
송동균%위건공%왕사강%류도빈%동세절
蛛网膜下腔,出血%动脉瘤,破裂%计算机,体层摄影术%诊断
蛛網膜下腔,齣血%動脈瘤,破裂%計算機,體層攝影術%診斷
주망막하강,출혈%동맥류,파렬%계산궤,체층섭영술%진단
Subarachnoid,hemorrhage%Aneurysm,rupture%Computed,tomography%Diagnosis
目的 探讨CT对动脉瘤破裂所致蛛网膜下腔出血(SAH)的诊断价值.方法 回顾性分析119例动脉瘤破裂所致SAH患者的临床和CT影像资料.结果 动脉瘤破裂所致的SAH的CT表现为侧裂、纵裂、脑池铸型高密度影,或伴有额叶直回、侧裂周围的额、颞叶血肿.结论 头颅CT在动脉瘤破裂所致SAH的定性诊断中具有一定的重要价值,根据CT显示颅内特定部位的SAH,还可以间接推测颅内动脉瘤的部位.但确定动脉瘤的责任血管来源还需行CTA或DSA检查.
目的 探討CT對動脈瘤破裂所緻蛛網膜下腔齣血(SAH)的診斷價值.方法 迴顧性分析119例動脈瘤破裂所緻SAH患者的臨床和CT影像資料.結果 動脈瘤破裂所緻的SAH的CT錶現為側裂、縱裂、腦池鑄型高密度影,或伴有額葉直迴、側裂週圍的額、顳葉血腫.結論 頭顱CT在動脈瘤破裂所緻SAH的定性診斷中具有一定的重要價值,根據CT顯示顱內特定部位的SAH,還可以間接推測顱內動脈瘤的部位.但確定動脈瘤的責任血管來源還需行CTA或DSA檢查.
목적 탐토CT대동맥류파렬소치주망막하강출혈(SAH)적진단개치.방법 회고성분석119례동맥류파렬소치SAH환자적림상화CT영상자료.결과 동맥류파렬소치적SAH적CT표현위측렬、종렬、뇌지주형고밀도영,혹반유액협직회、측렬주위적액、섭협혈종.결론 두로CT재동맥류파렬소치SAH적정성진단중구유일정적중요개치,근거CT현시로내특정부위적SAH,환가이간접추측로내동맥류적부위.단학정동맥류적책임혈관래원환수행CTA혹DSA검사.
Objective To explore the diagnosis value of CT in subarachnoid hemorrhage(SAH) induced by aneurysm rupture.Methods The clinical and CT data of 119 patients with SAH induced by aneurysm rupture were analyzed respectively.Results The CT characteristic of SAH induced by aneurysm rupture was full of hyperderse in sulcus and schizenceplay,or accompaning intracerebral hematoma in the straight gyrus of frontal lobe and the hippocampal gyrus of parietal lobe.Conclusion The CT has important value for diagnosing SAH induced by aneurysm rupture in the location and the nature.But it is indispensable that the CTA or DSA must be done for ascertaining the artery of responsibility of rupturing aneurysm.