应用CT诊断冠心病引起脑组织病变的临床价值探讨  

The Clinical Value Discussion of Using CT to Diagnose Coronary Disease Which Caused Brain Tissue Lesions

作　　者：王立莎[1] 

机构地区：[1]湖北医药学院附属襄阳医院CT室,襄阳441000

出　　处：《中国医药导刊》2013年第3期424-425,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨CT诊断冠心病引起脑组织病变的临床应用价值。方法:将选取的100例冠心病引起脑组织病变患者按年龄分为老年组和非老年组,其中老年组54例,非老年组46例,采用CT对所有患者进行检查,观察其检查结果、两组的CT特点和所出现的临床表现。结果:CT检查显示局限性低密度区改变、豆状核边界不清、大脑中动脉区改变和双侧额极低密度改变等病灶非常明确,具有较高的阳性诊断率;非老年组患者CT检查显示的单侧脑组织病灶明显多于老年组,显示的多脑组织病灶则明显较老年组少,两组比较差异具有统计学意义(P<0.05);老年组中患者的构音障碍、偏瘫和意识障碍等明显较非老年组多见,而出现偏身感觉障碍、头晕和头痛等症状明显少于非老年组,差异均具有统计学意义(P均<0.05)。结论:常规CT扫描检查对于冠心病引起脑组织病变的患者的诊断具有比较重要的临床价值,与临床表现结合可对患者做出明确诊断。Objectives：To discuss clinical application value of using CT to diagnose coronary disease which caused brain tissue lesions.Methods：Divided those 100 cases of coronary disease which caused brain tissue lesions patients into senile group and nonsenile group according to their ages,senile group has 54 cases,while non-senile group has 46 cases,adopted CT to check up all of the patients,observed their inspection results,these two groups’ CT characteristics and their clinical features.Results：CT examination showed that change of limitations low density area,unclear boundary of lenticular nucleus,change of the brain artery area and change of bilateral forehead extremely low density these nidus were very clear,it has fairly high positive diagnosisi rate;Unilateral brain tissue focus which showed in non-senile group through the CT examination is obviously more than senile group’s,while many brain tissue focus is evidently less than senile group’s,the comparison differences betweeen these two groups have statistics meaning（P0.05）;Compared with nonsenile group,patients’ dysarthria,hemiplegia and disturbance of consciousness appeared more in senile group,while hemianesthesia,dizzy giddy and cephalalgia these symptoms appeared less,the differences have statistics meaning（P0.05）.Conclusions：Conventional CT scan examination has fairly important clinical value to the diagnosis of coronary heart disease which caused brain tissue lesions patients,combined it with clinical features can proceed clear diagnosis for the patients.

关 键 词：CT诊断 临床价值 冠心病 脑组织病变 

分 类 号：R541.4[医药卫生—心血管疾病] R816.2[医药卫生—内科学]