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目的:讨论64层螺旋CT三联检查在急性胸痛诊断中的意义。方法:选择急诊中因急性胸痛发作求诊,并自愿选择64层螺旋CT三联检查的70例患者,应用64层螺旋CT三联检查最大密度投影、容积再现、多平面重建等技术,对胸部进行增强扫描。结果:70例胸痛患者中,主动脉夹层者13例,急性肺动脉栓塞9例,冠状动脉狭窄34例,房间隔缺损3例,闭塞7例,缩窄性心包炎2例,气胸2例。所有病例均扫描一次成功显影并得出数据。结论:在临床对急性胸痛诊断中,64层螺旋CT三联检查安全,方便,准确率高,值得推广。
Objective: To discuss the significance of 64-slice spiral CT in the diagnosis of acute chest pain. Methods: A total of 70 patients with acute chest pain who were diagnosed as acute chest pain and selected by 64-slice spiral CT triple-blind voluntarily were enrolled in this study. Thirty-six patients underwent CT scan with 64-slice spiral CT for maximum density projection, volume rendering and multiplanar reconstruction scanning. Results: Seventy patients with chest pain had aortic dissection in 13 cases, acute pulmonary embolism in 9 cases, coronary stenosis in 34 cases, atrial septal defect in 3 cases, occlusion in 7 cases, constrictive pericarditis in 2 cases and pneumothorax in 2 cases. All cases were scanned once successfully developed and the data was obtained. Conclusion: In clinical diagnosis of acute chest pain, 64-slice spiral CT triple examination is safe, convenient and accurate, which is worthy of popularization.