CT血管成像术在急诊诊断急性肺栓塞中的价值  

CT Angiograph for the Acute Pulmonary Embolism Diagnostic Value in Emergency Room

作　　者：刘迎晨[1] 杜捷夫[1] 

机构地区：[1]解放军总医院,北京市100853

出　　处：《中国病案》2015年第10期F0002-F0002,F0003,45,共3页Chinese Medical Record

摘　　要：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。Objective To 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 disease of 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 in patients suspected of acute pulmonary embolism in emergency room.

关 键 词：急性肺栓塞 急诊 CT血管成像术 

分 类 号：R563.5[医药卫生—呼吸系统]