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肺栓塞的螺旋CT检查与误诊
引用本文:刘娜嘉,李一鸣,刘芸,冯园春. 肺栓塞的螺旋CT检查与误诊[J]. 实用放射学杂志, 2001, 17(8): 586-587
作者姓名:刘娜嘉  李一鸣  刘芸  冯园春
作者单位:1. 宁夏医学院附属医院放射科
2. 宁夏灵武市人民医院放射科
摘    要:目的探讨螺旋CT扫描对肺动脉血栓栓塞的诊断价值,重点分析平扫的影像学特点.方法对16例CT平扫误诊病例进行回顾性分析.结果16例患者CT平扫均有阳性发现,敏感性为100%.其中误诊肺炎合并胸腔积液11例;胸腔积液3例;机化性肺炎1例;周围型肺癌1例.结论CT平扫可提供肺栓塞存在与否的有力证据,简便、安全、敏感可靠,在有条件的地方,应将其作为替代平片的首选检诊方法.

关 键 词:肺动脉  肺血栓栓塞  体层摄影,X线计算机
文章编号:1002-1671(2001)08-586-02
修稿时间:2000-09-26

Helical CT Findings and Misdiagnosis of Pulmonary Thromboembolism
LIU Na-jia,LI Yi-ming,LIU Yun,FENG Yuan-chun. Helical CT Findings and Misdiagnosis of Pulmonary Thromboembolism[J]. Journal of Practical Radiology, 2001, 17(8): 586-587
Authors:LIU Na-jia  LI Yi-ming  LIU Yun  FENG Yuan-chun
Abstract:Objective To investigate the diagnostic value of helical CT study in pulmonary thromboembolism.Methods A retrospective analysis was made on 16 misdiagnosed cases,studied previously with plain CT scanning.Results All of the 16 cases had positive findings on CT scanning,with sensitivity 100%.Among them,11 cases were misdiagnosed as pleural effusion plus pneumonia;3 pleural effusion;and 2,each of organized pneumonia and peripheral lung cancer.Conclusion The strong evidence of the disease could be given even with plain CT studies.The procedure is simple,safe and reliable,If a patient is suspected with the disease,and if CT is available in the hospital,CT should be the first choice in the study.
Keywords:pulmonary artery  thromboembolism  tomography  X-ray computer
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