| 选择性肺动脉造影及CTA诊断肺动脉假性动脉瘤 |
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| 引用本文： | 匡雄伟,李澄,刘振生,王稼祥,王苇.选择性肺动脉造影及CTA诊断肺动脉假性动脉瘤[J].实用临床医药杂志,2011,15(13). |
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| 作者姓名： | 匡雄伟 李澄 刘振生 王稼祥 王苇 |
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| 作者单位： | 江苏省扬州市第一人民医院,放射科,江苏,扬州,225001 |
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| 摘 要： | 目的提高对肺动脉源性咯血的认识。方法回顾性分析5例经支气管动脉栓塞不能控制的大咯血患者的临床、肺动脉造影及CTA资料。结果 5例肺动脉源性咯血患者CTA均显示肺动脉假性动脉瘤,而肺动脉造影只显示其中的3例,另2例仅表现为病变肺段的肺动脉低灌注。结论单纯肺动脉造影可能漏诊肺动脉假性动脉瘤,CTA对此病具有更强的诊断能力,并对指导进一步的超选择性肺动脉造影及血管内栓塞治疗具有重要的临床价值。
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| 关 键 词： | 咯血 计算机断层扫描 血管造影 假性动脉瘤 |
Selective Pulmonary Angiography and CT Angiography Pulmonary Artery Pseudoaneurysms |
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| KUANG Xiong-wei,LI Chen,LIU Zhen-sheng,WANG Jia-xiang,WANG Wei.Selective Pulmonary Angiography and CT Angiography Pulmonary Artery Pseudoaneurysms[J].Journal of Clinical Medicine in Practice,2011,15(13). |
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| Authors: | KUANG Xiong-wei LI Chen LIU Zhen-sheng WANG Jia-xiang WANG Wei |
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| Abstract: | Objective To improve the identification of hemoptysis of pulmonary arterial origin.Methods Selective pulmonary angiography,CTA and clincal data in 5 cases were analyzed retrospectively,and all these 5 patients were not controlled hemoptysis by bronchial arteries embolization.Results Hemoptysis of pulmonary arterial origin in 5 cases,namely pulmonary artery pseudoaneurysms,were diagnosed by CTA,of which only 3 cases were diagnosed by selective pulmonary angiography and other 2 cases manifested hypoperfusion ... |
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| Keywords: | hemoptysis computed tomography angiography pseudoaneurysms |
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