64层CT一站式血管造影检查在急重症胸痛诊断中的应用  

The application of 64-slice spiral CT one-stop angiography in diagnosis of acute severe chest pain

作　　者：闵智乾[1] 雷晓燕[1] 黄明刚[1] 张国安[2] 吴晓红[1] 张鑫[1] 

机构地区：[1]陕西省人民医院1CT&MR室,陕西西安710068 [2]陕西省人民医院心脏外科,陕西西安710068

出　　处：《实用放射学杂志》2011年第8期1158-1160,1164,共4页Journal of Practical Radiology

基　　金：陕西省社发攻关项目（编号：2010K01-152）.

摘　　要：目的探讨64层螺旋CT一站式血管造影检查在心胸部血管性病变所致急重症胸痛诊断中的应用价值。方法对28例临床高度怀疑血管性病变所致急重症胸痛行一站式血管造影检查，利用多种后处理技术进行重建，分别观察胸主动脉、肺动脉及冠状动脉，从而找出引起急重症胸痛的病因。结果急性主动脉夹层10例，急性肺动脉栓塞7例，急性冠状动脉综合征6例，胸膜炎2例，自发性气胸1例，肋骨病理性骨折1例，1例未发现明显异常，所有病例最终经过临床证实。结论64层螺旋CT一站式血管造影检查在血管性病变引起的急重症胸痛诊断中有非常重要的意义和实际应用价值，可以明确引起急重症胸痛的责任血管，可以作为急重症胸痛重要检查手段之一。Objective To evaluate the value of 64-slice spiral computed tomography one--stop angiography in diagnosis of acute severe chest pain. Methods 28 cases with acute severe chest pain highly suspected clinically caused by vascular lesions were examined by 64-slice spiral CT one-stop angiography. The images were processed by multi-imaging post-processing technique. The thoracic aorta, pulmonary artery and coronary artery were observed carefully to find out the etiology of acute severe chest pain. Results There were totally 10 cases of acute aortic dissection,7 cases of acute pulmonary embolism, 6 cases of acute coronary syndrome, 2 cases of pleurisy ,1 case of spontaneous pneumothorax,1 case of pathological fracture in rib and 1 case of no abnormal findings . Conclusion 64-slice spiral CT one-stop angiography in diagnosis of the causes of acute severe chest pain has very important meaning and practical applied value,it also should be used as the significant choice for clinical diagnosis of acute severe chest pain.

关 键 词：胸部 血管造影 急重症胸痛 体层摄影术 X线计算机 

分 类 号：R655[医药卫生—外科学] R814.43[医药卫生—临床医学]