临床与病理杂志2016，Vol.36Issue(10)：1629-1633,5.DOI:10.3978/j.issn.2095-6959.2016.10.031
多层螺旋CT在急诊胸痛患者中的诊断价值
The diagnostic value of multi-slice computer tomography in patients with acute chest pain at emergency room
吴伟君 1陈湘光 1张宇 1熊波1
作者信息
- 1. 广东省梅州市人民医院放射科，广东梅州514031
- 折叠
摘要
Abstract
Objective:To explore the diagnostic value of multi-slice computer tomography (MSCT) in evaluating patients with chest pain at emergency room. Methods:162 patients with chest pain admitted at emergency room were recruited for this study. All patients received scan, contract enhanced scan and angiography by MSCT. Raw data of MSCT were further processed by volume rendering, curved planar reformation, multiplanar reconstruction, and maximum intensity projection to evaluate the status of coronary artery, aortic artery and pulmonary artery. Results:hTe coronary artery and major branches, thoracic aorta, and branches above pulmonary artery segment of all patients could be clearly demonstrated. Among 162 patients, 129 were diagnosed as coronary artery stenosis (79.6%), 18 were determined as aortic dissection (11.1%), and 15 were identiifed as pulmonary artery embolism (9.3%). Conclusion:MSCT can provide high-quality images for differentiation diagnosis of major causes of chest pain at emergency room. Hence, MSCT can be considered as an ideal diagnosis approach of emergent chest pain.关键词
胸痛/急诊/多层螺旋CT/冠状动脉狭窄/主动脉夹层/肺动脉栓塞Key words
chest pain/emergency room/multi-slice computer tomography (MSCT)/coronary artery stenosis/aortic dissection/pulmonary artery embolism引用本文复制引用
吴伟君,陈湘光,张宇,熊波..多层螺旋CT在急诊胸痛患者中的诊断价值[J].临床与病理杂志,2016,36(10):1629-1633,5.
