| 320排CT血管造影筛查老年消化道出血并冠心病的应用价值 |
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| 引用本文： | 刘琦,郎勇,陈晓琴,李雪莲,王岚,周力. 320排CT血管造影筛查老年消化道出血并冠心病的应用价值[J]. 山东医药, 2011, 51(45): 18-20 |
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| 作者姓名： | 刘琦 郎勇 陈晓琴 李雪莲 王岚 周力 |
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| 作者单位： | 贵阳医学院附属医院,贵阳,550004 |
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| 基金项目： | 贵州省科技厅贵阳医学院社发联合基金项目[黔科合(2010)3169] |
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| 摘 要： | 目的探讨心脏320排CT血管造影（CTA）筛查老年消化道出血并冠心病（CHD）的临床价值。方法选择71例无CHD病史的老年消化道出血患者,入院后2周内依次行常规12导联心电图（ECG）、心脏320排CTA检查,其中26例入院6周内行冠脉造影（CAG）检查;比较各种方法筛查CHD的临床价值。结果 71例患者中,CTA检查示CHD阳性29例（40.84%）,ECG检查示CHD阳性19例（26.76%）,CTA检查诊断CHD的阳性率明显高于ECG（P〈0.05）。行CAG检查的26例患者中,CAG检查示CHD阳性15例（57.69%）,CTA检查示CHD阳性16例（61.53%）,两种方法诊断CHD的阳性率无统计学差异（P〉0.05）;CTA检查诊断CHD的灵敏度为100%,特异度为90.91%,阳性预测值为93.75%,阴性预测值为100%。结论心脏320排CTA可作为无创筛查老年消化道出血患者是否合并CHD的首选方法之一。
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| 关 键 词： | 消化道出血 冠状动脉疾病 320排CT血管造影 冠状血管造影术 |
Diagnostic value for gastrointestinal hemorrhage senile patients with potential coronary artery disease using 320-row coronary angiography with CT |
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| LIU Qi,LANG Yong,CHEN Xiao-qin,LI Xue-lian,WANG Lan,ZHOU Li. Diagnostic value for gastrointestinal hemorrhage senile patients with potential coronary artery disease using 320-row coronary angiography with CT[J]. Shandong Medical Journal, 2011, 51(45): 18-20 |
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| Authors: | LIU Qi LANG Yong CHEN Xiao-qin LI Xue-lian WANG Lan ZHOU Li |
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| Affiliation: | LIU Qi,LANG Yong,CHEN Xiao-qin,LI Xue-lian,WANG Lan,ZHOU Li (First Affiliated Hospital,Guiyang Medical College,Guiyang 550004,P.R.China) |
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| Abstract: | Objective To assess the diagnostic value for gastrointestinal hemorrhage senile patients with potential coronary artery disease using 320-row coronary angiography with CT(CTA).Methods A total of 71 gastrointestinal bleeding senile patients without coronary heart disease(CHD) history were successively accepted conventional 12-director electrocardiogram(ECG) and 320-row CTA in two weeks from being admitted to hospital.Among those patients,26 accepted the X-ray coronary angiography(CAG) examination in six week... |
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| Keywords: | gastrointestinal bleeding coronary disease 320-row CT angiography coronary angiography |
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