| 64层螺旋CT血管造影在急重症胸痛诊断中的应用 |
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| 引用本文： | 闵智乾,雷晓燕,黄明刚,张艳,张小玲,齐敏,汤敏,张国安.64层螺旋CT血管造影在急重症胸痛诊断中的应用[J].实用放射学杂志,2010,26(1). |
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| 作者姓名： | 闵智乾 雷晓燕 黄明刚 张艳 张小玲 齐敏 汤敏 张国安 |
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| 作者单位： | 1. 陕西省人民医院CT&MR室,陕西,西安,710068
2. 陕西省人民医院心脏外科,陕西,西安,710068 |
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| 摘 要： | 目的 探讨64层螺旋CT血管造影在胸心部血管性病变所致急重症胸痛诊断中的价值. 方法 回顾性分析34例行64层螺旋CT血管造影检查并经证实的由血管性病变引起的急重症胸痛患者,利用多平面重建、最大密度投影、曲面重建以及容积再现技术进行图像后处理并分析其影像学特点. 结果 CT血管造影显示急性主动脉夹层13例,急性肺动脉栓塞9例,急性冠状动脉综合征12例,所有病例最终经过临床证实. 结论 64层螺旋CT血管造影在急重症胸痛诊断中有重要的实际应用价值,可以作为急重症胸痛的重要检查手段.
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| 关 键 词： | 胸部 胸痛 血管性疾病 体层摄影术 X线计算机 血管造影 |
The Value of 64-slice Spiral CT Angiography in Diagnosis of Acute Severe Chest Pain |
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| MIN Zhi-qian,LEI Xiao-yan,HUANG Ming-gang,ZHANG Yan,ZHANG Xiao-ling,QI Min,TANG Min,ZHANG Guo-an.The Value of 64-slice Spiral CT Angiography in Diagnosis of Acute Severe Chest Pain[J].Journal of Practical Radiology,2010,26(1). |
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| Authors: | MIN Zhi-qian LEI Xiao-yan HUANG Ming-gang ZHANG Yan ZHANG Xiao-ling QI Min TANG Min ZHANG Guo-an |
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| Abstract: | Objective To evaluate the value of 64-slice spiral computed tomography angiography(CTA) in diagnosis of acute severe chest pain caused by vascular diseases.Methods 34 cases with acute severe chest pain caused by vascular lesions confirmed clinically underwent CTA examinations.The images were processed with multi-planar reconstruction,maximal intensity projection,curved planar reconstruction and volume rendering,then the imaging features were analysed.Results CTA showed acute aortic dissection in 13 cases,acute pulmonary embolism in 9 cases and acute coronary syndrome in 12 cases,all cases were confirmed by clinic.Conclusion 64-slice CTA has very important practical value in diagnosis of acute severe chest pain. |
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| Keywords: | chest chest pain vascular disease tomography X-ray computed angiography |
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