论文部分内容阅读
目的 探讨64层螺旋CT与血清高敏C-反应蛋白(hs-CRP)和D-二聚体(D-D)水平早期诊断主动脉夹层(AD)患者的临床价值.方法 64层螺旋CT扫描仪确诊91例AD患者,并采用免疫比浊法测定血清hs-CRP和D-D水平.100名健康人作为正常对照组.结果 91例确诊的AD患者,其中De BakeyⅠ型56例,Ⅱ型4例和Ⅲ型31例,诊断准确率96.7%,AD患者血清hs-CRP和D-D水平较之正常对照组显著增高(P均<0.01),并随AD的严重程度而增高.结论 64层螺旋CT与血清hs-CRP和D-D水平联合检查是早期诊断AD患者的有价值指标.“,”Objective To explore the early diagnosis of aortic dissection (AD) patients with 64-slice spiral CT, serum hs-CRP and D-D levels. Methods 64-slice spiral CT angiography was performed in 91 patients with AD. The serum hs-CRP and D-D levels were determined in AD patients. 100 healthy subjects were served as normal control group. Results 91 cases of AD were confirmed by 64-slice spiral CT and divided into 56 cases of De Bakey type Ⅰ, 4 cases of type Ⅱ and 31 cases of type Ⅲ, correct diagnosis rate 96.7%. The serum hs-CRP and D-D levels in AD patients were significantly higher than those of normal controls (P all<0.01), and were increased with the severity of AD. Conclusion 64-slice spiral CT combined with serum hs-CRP and D-D levels was valuable for early diagnosis ofAD.