CAJ | 학술논문

目的：探讨紫绀型先心病患者颅脑CT表现及分析上矢状窦密度和血红蛋白(Hb)浓度、红细胞压积(HCT)、红细胞计数(RBC)之间的关系。方法收集52例临床诊断为紫绀型先心病患者与50例正常健康人脑部CT平扫图像进行研究比较，观察图像并测量其上矢状CT值，并结合Hb、HTC、RBC值进行统计学分析。结果52例紫绀型先心病患者中，脑部CT静脉窦及脑血管血液密度正常5例(9.61%)；血液密度轻度增高15例(29.41%)；中度增高18例(34.61%)；重度增高14例(26.92%)，以上矢状窦显示率最高。通过测量分析上矢状窦CT值与Hb值呈明显正相关性；紫绀型先心病患者上矢状窦CT值高于CT正常组，差异具有显著统计学意义(t=12.864,P<0.01)。结论颅内静脉窦及脑血管密度均匀性增高，是紫绀型先心病颅脑CT平扫相对特征性改变；血液密度增高与Hb、HCT、RBC增高相关，尤其上矢状窦增高较为显著。
목적：탐토자감형선심병환자로뇌CT표현급분석상시상두밀도화혈홍단백(Hb)농도、홍세포압적(HCT)、홍세포계수(RBC)지간적관계。방법수집52례림상진단위자감형선심병환자여50례정상건강인뇌부CT평소도상진행연구비교，관찰도상병측량기상시상CT치，병결합Hb、HTC、RBC치진행통계학분석。결과52례자감형선심병환자중，뇌부CT정맥두급뇌혈관혈액밀도정상5례(9.61%)；혈액밀도경도증고15례(29.41%)；중도증고18례(34.61%)；중도증고14례(26.92%)，이상시상두현시솔최고。통과측량분석상시상두CT치여Hb치정명현정상관성；자감형선심병환자상시상두CT치고우CT정상조，차이구유현저통계학의의(t=12.864,P<0.01)。결론로내정맥두급뇌혈관밀도균균성증고，시자감형선심병로뇌CT평소상대특정성개변；혈액밀도증고여Hb、HCT、RBC증고상관，우기상시상두증고교위현저。
Objective To explore the cerebral CT imaging features in patients suffering cyanotic congenital heart disease and to analyze the relationship between sagittal sinus density, concentration of hemoglobin (Hb), red blood cells deposited (HCT),and the red blood cell count (RBC).Methods Preoperative cerebral CT imaging features in 52 patients with cyanotic congenital heart disease (CCHD group) were analyzed and relevant data were compared with the findings in normal healthy people (50 persons in this group ). To observe the images and to measure its superior sagittal sinus CT value, the concentration of Hb、HCT and RBC counts were referred to for statistical analysis. ResultsAmong 52 cases of cyanotic congenital heart disease, normal cerebral CT sinus and cerebral blood density were found in 5 patients (9.61%); Blood density slightly increased in 15 cases (29.41%); Moderately increased in 18 cases (34.61%); Increased heavily in 14 cases (26.92%), especially sagittal sinus showed the highest rate. Measured and analyzed, an obvious parallel correlation between superior sagittal sinus CT value and Hb existed; The superior sagittal sinus CT value in patients with cyanotic congenital heart disease is higher than that in CT normal group, the difference has significant statistical significance (t=12.864,P<0.01).Conclusions Increased density of intracranial venous sinus and cerebral vascular is showed in cerebral CT scanning of CCHD Patients; Increased blood density is associated with increased hemoglobin concentration, especially the sagittal sinus is increased more significantly.