目的探讨心源性肝淤血的多层螺旋CT(multi-slice spiral CT,MSCT)征象。方法对21例心源性肝淤血的MSCT图像进行回顾性研究,分析心源性肝淤血的MSCT征象。结果21例心源性肝淤血患者MSCT扫描动脉期均出现不同程度的下腔静脉逆向显影,其中合并肝脏异常灌注者10例,淋巴郁滞征象者7例。结论肝脏MSCT增强扫描动脉期出现的下腔静脉逆流征象和肝脏异常灌注常提示心源性疾患右心压力增高所致肝脏淤血可能。 Objective To explore the multi-slice spiral CT (MSCT) signs of cardiogenic liver congestion. Methods 21 MSCT images of cardiogenic liver congestion were retrospectively analyzed, and MSCT signs of cardiogenic liver congestion were analyzed. Results 21 cases of cardiac cirrhosis patients MSCT scan arterial phase showed varying degrees of inferior vena cava reverse development, including abnormal liver perfusion in 10 cases, 7 cases of lymphatic stasis signs. Conclusions The signs of inferior vena cava reflux and abnormal hepatic perfusion in MSCT enhanced arterial phase often indicate the possibility of hepatic congestion due to the increased right heart pressure in cardiogenic disorders.