中国病案
中國病案
중국병안
Chinese Medical Record
2015年
10期
0-0,97,45
,共3页
急性肺栓塞%急诊%CT血管成像术
急性肺栓塞%急診%CT血管成像術
급성폐전새%급진%CT혈관성상술
Acute pulmonary embolism%Emergency%CT angiograph
目的:探讨肺动脉栓塞急诊行CT三维重建在急性肺栓塞诊断中的价值。方法对2012年1月1日至2013年12月31日之间就诊于某院急诊科临床疑似肺栓塞的71例患者行急诊多层螺旋CT扫描血管成像术了解有无影像学确诊肺栓塞依据。结果所有病例均获得满意图像,影像学确诊患者65例(91.5%),表现为肺动脉充盈缺损56例(86.2%),完全闭塞9例(13.8%),65例CT确诊肺动脉栓塞患者,经多因素相关性分析提示肺动脉栓塞与年龄无显著相关性,95% CI,1.044(0.741-1.607),P=0.84;与患者有静脉血栓性疾病(P=0.003)、肿瘤基础疾病(P=0.045)、近期行手术或创伤(P=0)有显著相关性。结论对于疑似急性肺栓塞患者急诊行CT扫描血管成像术可有效、快速确诊肺动脉栓塞。
目的:探討肺動脈栓塞急診行CT三維重建在急性肺栓塞診斷中的價值。方法對2012年1月1日至2013年12月31日之間就診于某院急診科臨床疑似肺栓塞的71例患者行急診多層螺鏇CT掃描血管成像術瞭解有無影像學確診肺栓塞依據。結果所有病例均穫得滿意圖像,影像學確診患者65例(91.5%),錶現為肺動脈充盈缺損56例(86.2%),完全閉塞9例(13.8%),65例CT確診肺動脈栓塞患者,經多因素相關性分析提示肺動脈栓塞與年齡無顯著相關性,95% CI,1.044(0.741-1.607),P=0.84;與患者有靜脈血栓性疾病(P=0.003)、腫瘤基礎疾病(P=0.045)、近期行手術或創傷(P=0)有顯著相關性。結論對于疑似急性肺栓塞患者急診行CT掃描血管成像術可有效、快速確診肺動脈栓塞。
목적:탐토폐동맥전새급진행CT삼유중건재급성폐전새진단중적개치。방법대2012년1월1일지2013년12월31일지간취진우모원급진과림상의사폐전새적71례환자행급진다층라선CT소묘혈관성상술료해유무영상학학진폐전새의거。결과소유병례균획득만의도상,영상학학진환자65례(91.5%),표현위폐동맥충영결손56례(86.2%),완전폐새9례(13.8%),65례CT학진폐동맥전새환자,경다인소상관성분석제시폐동맥전새여년령무현저상관성,95% CI,1.044(0.741-1.607),P=0.84;여환자유정맥혈전성질병(P=0.003)、종류기출질병(P=0.045)、근기행수술혹창상(P=0)유현저상관성。결론대우의사급성폐전새환자급진행CT소묘혈관성상술가유효、쾌속학진폐동맥전새。
ObjectiveTo evaluate the value of CT angiograph(CTA) for the acute pulmonary embolism(PE) in Emergency Room. Methods 71 patients with clinically suspected acute PE were examined by CTA to confirm the diagnosis of PE.Results In 71 patients, 65 cases were confirmed with PE with CTA signs were shown as pulmonary trunk filling defect in 56 cases, fully occluded in 9 cases; the multiple variates linear regression analysis shown that the PE has the significant relationship with the basic diseaseof venous thrombus(P=0.003), tumor disease(P=0.045) and surgical disease or truma(P=0), but has no relationship with the age(P=0.84).Conclusion 64 row CTPA has the advantages of accurate, rapid, noninvasive diagnostic value inpatients suspected of acute pulmonary embolism in emergency room.