摘要
目的探讨肺动脉栓塞（ＰＥ）溶栓或手术治疗前后电子束ＣＴ（ＥＢＣＴ）检查的临床价值。方法３例急性ＰＥ行静脉溶栓治疗，２例慢性ＰＥ行肺动脉血栓及内膜清除术，所有病例均在治疗前１周及治疗后２周内行ＥＢＣＴ增强连续容积扫描，慢性ＰＥ尚作ＥＢＣＴ心脏电影。结果３例急性ＰＥ中２例在溶栓后ＥＢＣＴ复查示病灶基本消失，另１例首次溶栓后ＥＢＣＴ示病变无显著变化，遂更改治疗方案而奏效，血栓消失；２例慢性ＰＥ经手术治疗，ＥＢＣＴ证实病灶基本清除，心功能明显改善。结论ＥＢＣＴ对ＰＥ溶栓及手术治疗有重要的诊断和指导治疗价值，也是治疗后随访的可靠方法。
Objective To evaluate the clinical value of electron beam computed tomography(EBCT) for treating pulmonary embolism. Methods Three cases with acute pulmonary embolism accepted thrombolytic therapy while two cases with chronic pulmonary embolism underwent thromboendarterectomy. All patients had EBCT study with enhanced continuous volume scan .In two cases with chronic pulmonary embolism, cardiac CT movie study was performed in addition. Results EBCT revealed that the thrombus was almost totally resolved in two of the three patients with acute pulmonary embolism after thrombolytic treatment. One acute case had no significant improvement on EBCT after the first thrombolytic therapy, then treatment scheme was modified and the thrombus disappeared later. In 2 cases with chronic pulmonary embolism, it was proved on EBCT that the thrombus was almost completely removed and cardiac function was restored after thromboendarterectomy. Conclusions EBCT has important value in assessing pulmonary embolism before and after thrombolytic therapy or surgical treatment.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1999年第5期306-308,共3页
Chinese Journal of Radiology
关键词
肺栓塞
电子束CT
CT
诊断
血栓切除术
Pulmonary embolismThrombolytic therapyThrombectomyTomography, Xray computedEvaluation studies
