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螺旋CT增强扫描对肺栓塞的诊断

Spiral CT enhancement scanning for the diagnosis of pulmonary embolism
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摘要 目的 探讨螺旋CT增强扫描诊断肺栓塞的临床价值。 方法 对 2 0例肺栓塞患者应用螺旋CT连续容积扫描 ,层厚 3mm~ 7mm ,扫描时间 1秒 ,造影剂流速 2 5ml s~ 3 5ml s扫描延迟时间 15秒~ 2 0秒。 结果 肺栓塞的螺旋CT直接征象为腔内充盈缺损 ;间接征象为肺窗“马赛克”征及肺梗死灶。 结论 螺旋CT增强扫描是快速、有效、无创伤诊断肺栓塞的首选诊断方法。 Objective To evaluate the clinical value of spiral CT in the diagnosis of pulmonary emboli sm(PE). Methods 20 patients with PE were performed spiral CT volume scanning,slice thickness of 3mm~7mm,scan time was 1s,contrast medium was administered by automatic injec tor with flow rate of 2.5ml/s~3.5ml/s,delay time was 15s~20s. Results In spiral CT the direct signs of the diagnostic features for PE was intraluminal filling defect an d secondary signs included 'mosaic sign' on lung window and focus of pulmonary infarction. Conclusion Sprial CT enhancement scanning might be a fast,effective,and non-invasive method for diagnosing PE.
出处 《实用心脑肺血管病杂志》 2004年第2期86-88,共3页 Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词 螺旋CT 增强扫描 肺栓塞 诊断 Pulmonary embolism Spiral CT Enhancement scanning
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