Objective: to consider the difference and characteristics of clinical diagnosis and treatment of mycoplasma pneumoniae pneumonia in children by X-ray and CT. Methods a total of 120 children with mycoplasma pneumoniae ...Objective: to consider the difference and characteristics of clinical diagnosis and treatment of mycoplasma pneumoniae pneumonia in children by X-ray and CT. Methods a total of 120 children with mycoplasma pneumoniae pneumonia received from the department of Pediatrics of our hospital during 2020/8-2020/8 were randomly divided into 2 groups. Among them, X-ray examination technique was selected in the observation group and CT examination technique was selected in the control group, with 60 cases in each group. The clinical diagnosis results of the two groups were compared. Results: There were abnormal changes in the lungs of all the children in the observation group. Finally, it was found that there was local shadow of lung parenchyma, patchy, and a little pleural effusion. The chest manifestations of the control group were different, and the typical manifestations were significantly enlarged hilar shadow and increased lung striae. In addition, the clinical diagnosis rate of the observation group was 96.67%, which was significantly higher than that of the control group (51.67%), indicating a significant difference in the above indicators (P < 0.05). Results: The clinical manifestations of mycoplasma pneumoniae pneumonia in children are not single, and they are diversified. Good diagnostic results can be obtained by using CT and X-ray technology for examination. However, the clinical diagnosis rate of CT technology is relatively high, so to ensure the accuracy and efficiency of clinical diagnosis results, It is usually necessary to carry out comprehensive evaluation based on clinical manifestations, changes in physical signs, laboratory examination structure, X-ray and CT examination, so as to bring support and guidance for timely and standardized treatment of children as soon as possible.展开更多
Objective: to evaluate the clinical situation of emergency examination of suspected pulmonary embolism cases. Methods: 80 patients with suspected pulmonary embolism admitted to our hospital from July 2019 to March 202...Objective: to evaluate the clinical situation of emergency examination of suspected pulmonary embolism cases. Methods: 80 patients with suspected pulmonary embolism admitted to our hospital from July 2019 to March 2022 were included, and selected into CT and ECG groups, 40 cases each;and the diagnosis of the two groups was controlled. Results: compared with the ECG examination group, the CT examination group had high diagnosis accuracy, low misdiagnosis and missed diagnosis rate, and P <0.05 was different. Conclusion: CT should be preferred for suspected pulmonary embolism, with high diagnosis accuracy, low misdiagnosis and missed diagnosis.展开更多
BACKGROUND 99mTc-3PRGD2.SPECT/CT is a commonly used examination method in nuclear medicine.However,patients receiving 99mTc-3PRGD2.SPECT/CT have insufficient knowledge of this method and worry about the examination re...BACKGROUND 99mTc-3PRGD2.SPECT/CT is a commonly used examination method in nuclear medicine.However,patients receiving 99mTc-3PRGD2.SPECT/CT have insufficient knowledge of this method and worry about the examination results.AIM To investigate the effect of teach-back health education combined with structured psychological nursing on adverse emotion and cooperation in patients undergoing 99mTc-3PRGD2.SPECT/CT examination.METHODS Ninety patients undergoing 99mTc-3PRGD2.SPECT/CT examinations were divided into a study group and a control group using a simple random number table,and 45 cases were allocated to each group.Routine nursing was provided to the control group,and teach-back health education combined with structured psychological nursing was provided to the study group on the basis of the control group.Heart rate,diastolic blood pressure,systolic blood pressure,self-rating depression scale(SDS),and self-rating anxiety scale(SAS)were assessed before and after the intervention,and examination cooperation and intervention satisfaction were assessed in the two groups before,during,and after the examination.RESULTS Before the examination,heart rate,diastolic blood pressure,and systolic blood pressure in the study group were not significantly different from the values of the control group(P>0.05).The results of the study group before and after the examination were lower than those in the control group(P<0.05).Before the intervention,SDS and SAS scores in the study group were not significantly different from those in the control group(P>0.05).After the intervention,SDS and SAS scores in the study group were lower than those in the control group(P<0.05).The degree of cooperation was higher in the study group than in the control group(P<0.05).The satisfaction rate with the intervention was higher in the study group than in the control group(P<0.05).CONCLUSION Teach-back health education combined with structured psychological nursing can help maintain the stability of blood pressure and heart rate,relieve negative emotions,and improve the satisfaction and cooperation of patients undergoing 99mTc-3PRGD2.SPECT/CT examinations.展开更多
Objective: to study the clinical value of CT examination in patients with gastrointestinal perforation and abdominal infection. Methods: 200 patients with gastrointestinal perforation and abdominal infection who were ...Objective: to study the clinical value of CT examination in patients with gastrointestinal perforation and abdominal infection. Methods: 200 patients with gastrointestinal perforation and abdominal infection who were treated in our hospital from February 2016 to August 2019 were selected as the research objects. All patients underwent CT scanning. The results of doctors' reading were recorded and analyzed. The locations of gastrointestinal perforation were summarized and the CT manifestations were analyzed. Results: among the 200 patients, 164 had perforation of upper digestive tract and 36 had perforation of lower digestive tract. There were 91 cases (45.50%) of duodenal perforation, 73 cases (36.50%) of gastric perforation, 28 cases (14.00%) of appendiceal perforation and 8 cases (4.00%) of other intestinal perforation. The main sign of diagnosing digestive tract perforation is abdominal cavity gas accumulation, in which 52.00% of the patients show large amount of gas accumulation and 39.00% of the patients show small amount of gas accumulation;CT signs of abdominal infection include ascites and effusion, and signs of enlarged lymph nodes, abdominal abscess and peritoneal thickening also support abdominal infection. Conclusion: CT examination of patients with gastrointestinal perforation and abdominal cavity infection has high diagnostic value. Abdominal cavity gas accumulation and effusion are the main signs of CT diagnosis.展开更多
Objective: To study the value of CT and general radiography in the diagnosis of pulmonary solitary bulbar lesions. Methods: A total of 50 patients with isolated spherical pulmonary lesions in our hospital were selecte...Objective: To study the value of CT and general radiography in the diagnosis of pulmonary solitary bulbar lesions. Methods: A total of 50 patients with isolated spherical pulmonary lesions in our hospital were selected as experimental subjects from January 2021 to December 2021. They were examined by CT and general radiography respectively, and their imaging data were collected and diagnosed. According to the results of surgical pathology, the diagnostic results of two different examination methods were analyzed, and the diagnostic rates of different diseases were counted. Results: In pathological examination, there were 21 cases of lung cancer, 14 cases of tuberculosis, 7 cases of inflammatory disease and 8 cases of other diseases. The coincidence rate of lung cancer, tuberculosis, inflammatory disease and other diseases was 80.95% (17/21), 92.86% (13/14), 100.00% (7/7), 100.00% (8/8), and the coincidence rate of general radiotherapy was 90.00%. The results of CT examination and pathological examination were completely consistent, and the diagnostic coincidence rate of all diseases was 100.00%. The diagnostic accuracy of CT examination and general radiography was significantly different (P < 0.05). Conclusion: In the clinical diagnosis of solitary spherical pulmonary lesions, CT examination has a higher diagnostic coincidence rate than general radiography, which can effectively identify various diseases, contribute to the development of follow-up treatment and can be popularized.展开更多
Objective: to explore the clinical application value of this imaging examination method in clinical application by strictly selecting 90 patients with acute thoracic and abdominal trauma diagnosed by multi-slice spira...Objective: to explore the clinical application value of this imaging examination method in clinical application by strictly selecting 90 patients with acute thoracic and abdominal trauma diagnosed by multi-slice spiral CT in our hospital for clinical analysis. Methods: the study period of this study was from January 2021 to December 2021. The sample was 90 patients who received acute thoracic and abdominal trauma treatment in our hospital within the above time interval. All patients were examined by multi-slice spiral CT after hospitalization. The examination results were compared with the pathological diagnosis results. Results: through data analysis, the difference between the accuracy of the results of multi-slice spiral CT examination and the accuracy of the results of clinical and pathological diagnosis is relatively small (P > 0.05). The specificity and accuracy of multi-slice spiral CT examination are relatively high, and the positive predictive value is relatively high. Conclusion: the data results of this study show that the application of multi-slice spiral CT examination in the clinical treatment of patients with acute thoracic and abdominal trauma has higher diagnostic accuracy, which is beneficial to better judge the patient's condition, and can further improve the quality and efficiency of clinical examination, thus providing more timely and effective treatment for patients.展开更多
Objective: to analyze the application of CT imaging in the diagnosis of chronic pancreatitis and pancreatic cancer. Methods: 100 subjects were selected from March 2018 to May 2020. According to the disease types, they...Objective: to analyze the application of CT imaging in the diagnosis of chronic pancreatitis and pancreatic cancer. Methods: 100 subjects were selected from March 2018 to May 2020. According to the disease types, they were divided into 60 cases of pancreatitis group and 40 cases of pancreatic cancer group. All patients underwent CT imaging examination, and the difference of CT signs between the two groups was analyzed and compared. Results: Compared with the group of pancreatitis, the group of pancreatic cancer has the features of enlarged lesion area, uniform expansion of distal pancreatic duct, clear lesion area and uneven density (P<0.05). Conclusion: the application of CT imaging examination can effectively differentiate the diagnosis of chronic pancreatitis and pancreatic cancer, which is beneficial to the later treatment of patients and has positive significance for improving the prognosis of patients. It is worthy of promotion.展开更多
Objective:To discuss the early imaging features of novel coronary pneumonia(NCP)and its differential diagnosis with common pneumonia for the clinical Provide relatively correct imaging diagnosis.Methods:A review of 10...Objective:To discuss the early imaging features of novel coronary pneumonia(NCP)and its differential diagnosis with common pneumonia for the clinical Provide relatively correct imaging diagnosis.Methods:A review of 10 cases of novel coronavirus pneumonia diagnosed in our hospital and surrounding counties was collected,and our hospital's 2019-2020 Common pneumonia such as influenza A and B virus pneumonia,lobar pneumonia and adenovirus confirmed by laboratory tests and abnormal chest radiographs Ten patients each with pneumonia,a total of 40 patients,were collected and their imaging features were analyzed.Results:In 10 patients with neo-coronary pneumonia,there were 30 lesions on chest CT,with typical characteristic lesions containing bronchograms within their Angiographic thickening;located in the subpleura,with grinding glass-like or combined solid changes,referred to as"extratubular halo",with multifocal and multifocal distribution.Morphology or unilobular large lamellar foci without lymph node enlargement and pleural effusion;10 cases of influenza A and B virus pneumonia in chest CT performance In nine patients,the lesions were distributed in the subpleural or along the perimeter of the bronchial vessels in the form of an analogous circular ground-glass shadow,some of which was a small piece of solid shadow,1 The case involved a single lobe of the lung and showed a large mixed ground glass image,and the CT in 10 cases of lobar pneumonia showed that they all had a single large solid lobe The variegated shadow or patchy cloud with blurred margins was triangularly altered with the tip pointing to the lung portal,and there were five cases of air-containing bronchograms.Adenoviral pneumonia is more common in infants and young children,and CT showed single or multiple grinded glass images in both lungs with patchy solid variegated shadows and lobar distribution.Conclusion:NCP and common pneumonia have certain imaging features that,in combination with laboratory tests and epidemiologic history,allow a preliminary diagnosis to be made.It has certain directions and help for clinical diagnosis.展开更多
文摘Objective: to consider the difference and characteristics of clinical diagnosis and treatment of mycoplasma pneumoniae pneumonia in children by X-ray and CT. Methods a total of 120 children with mycoplasma pneumoniae pneumonia received from the department of Pediatrics of our hospital during 2020/8-2020/8 were randomly divided into 2 groups. Among them, X-ray examination technique was selected in the observation group and CT examination technique was selected in the control group, with 60 cases in each group. The clinical diagnosis results of the two groups were compared. Results: There were abnormal changes in the lungs of all the children in the observation group. Finally, it was found that there was local shadow of lung parenchyma, patchy, and a little pleural effusion. The chest manifestations of the control group were different, and the typical manifestations were significantly enlarged hilar shadow and increased lung striae. In addition, the clinical diagnosis rate of the observation group was 96.67%, which was significantly higher than that of the control group (51.67%), indicating a significant difference in the above indicators (P < 0.05). Results: The clinical manifestations of mycoplasma pneumoniae pneumonia in children are not single, and they are diversified. Good diagnostic results can be obtained by using CT and X-ray technology for examination. However, the clinical diagnosis rate of CT technology is relatively high, so to ensure the accuracy and efficiency of clinical diagnosis results, It is usually necessary to carry out comprehensive evaluation based on clinical manifestations, changes in physical signs, laboratory examination structure, X-ray and CT examination, so as to bring support and guidance for timely and standardized treatment of children as soon as possible.
文摘Objective: to evaluate the clinical situation of emergency examination of suspected pulmonary embolism cases. Methods: 80 patients with suspected pulmonary embolism admitted to our hospital from July 2019 to March 2022 were included, and selected into CT and ECG groups, 40 cases each;and the diagnosis of the two groups was controlled. Results: compared with the ECG examination group, the CT examination group had high diagnosis accuracy, low misdiagnosis and missed diagnosis rate, and P <0.05 was different. Conclusion: CT should be preferred for suspected pulmonary embolism, with high diagnosis accuracy, low misdiagnosis and missed diagnosis.
文摘BACKGROUND 99mTc-3PRGD2.SPECT/CT is a commonly used examination method in nuclear medicine.However,patients receiving 99mTc-3PRGD2.SPECT/CT have insufficient knowledge of this method and worry about the examination results.AIM To investigate the effect of teach-back health education combined with structured psychological nursing on adverse emotion and cooperation in patients undergoing 99mTc-3PRGD2.SPECT/CT examination.METHODS Ninety patients undergoing 99mTc-3PRGD2.SPECT/CT examinations were divided into a study group and a control group using a simple random number table,and 45 cases were allocated to each group.Routine nursing was provided to the control group,and teach-back health education combined with structured psychological nursing was provided to the study group on the basis of the control group.Heart rate,diastolic blood pressure,systolic blood pressure,self-rating depression scale(SDS),and self-rating anxiety scale(SAS)were assessed before and after the intervention,and examination cooperation and intervention satisfaction were assessed in the two groups before,during,and after the examination.RESULTS Before the examination,heart rate,diastolic blood pressure,and systolic blood pressure in the study group were not significantly different from the values of the control group(P>0.05).The results of the study group before and after the examination were lower than those in the control group(P<0.05).Before the intervention,SDS and SAS scores in the study group were not significantly different from those in the control group(P>0.05).After the intervention,SDS and SAS scores in the study group were lower than those in the control group(P<0.05).The degree of cooperation was higher in the study group than in the control group(P<0.05).The satisfaction rate with the intervention was higher in the study group than in the control group(P<0.05).CONCLUSION Teach-back health education combined with structured psychological nursing can help maintain the stability of blood pressure and heart rate,relieve negative emotions,and improve the satisfaction and cooperation of patients undergoing 99mTc-3PRGD2.SPECT/CT examinations.
文摘Objective: to study the clinical value of CT examination in patients with gastrointestinal perforation and abdominal infection. Methods: 200 patients with gastrointestinal perforation and abdominal infection who were treated in our hospital from February 2016 to August 2019 were selected as the research objects. All patients underwent CT scanning. The results of doctors' reading were recorded and analyzed. The locations of gastrointestinal perforation were summarized and the CT manifestations were analyzed. Results: among the 200 patients, 164 had perforation of upper digestive tract and 36 had perforation of lower digestive tract. There were 91 cases (45.50%) of duodenal perforation, 73 cases (36.50%) of gastric perforation, 28 cases (14.00%) of appendiceal perforation and 8 cases (4.00%) of other intestinal perforation. The main sign of diagnosing digestive tract perforation is abdominal cavity gas accumulation, in which 52.00% of the patients show large amount of gas accumulation and 39.00% of the patients show small amount of gas accumulation;CT signs of abdominal infection include ascites and effusion, and signs of enlarged lymph nodes, abdominal abscess and peritoneal thickening also support abdominal infection. Conclusion: CT examination of patients with gastrointestinal perforation and abdominal cavity infection has high diagnostic value. Abdominal cavity gas accumulation and effusion are the main signs of CT diagnosis.
文摘Objective: To study the value of CT and general radiography in the diagnosis of pulmonary solitary bulbar lesions. Methods: A total of 50 patients with isolated spherical pulmonary lesions in our hospital were selected as experimental subjects from January 2021 to December 2021. They were examined by CT and general radiography respectively, and their imaging data were collected and diagnosed. According to the results of surgical pathology, the diagnostic results of two different examination methods were analyzed, and the diagnostic rates of different diseases were counted. Results: In pathological examination, there were 21 cases of lung cancer, 14 cases of tuberculosis, 7 cases of inflammatory disease and 8 cases of other diseases. The coincidence rate of lung cancer, tuberculosis, inflammatory disease and other diseases was 80.95% (17/21), 92.86% (13/14), 100.00% (7/7), 100.00% (8/8), and the coincidence rate of general radiotherapy was 90.00%. The results of CT examination and pathological examination were completely consistent, and the diagnostic coincidence rate of all diseases was 100.00%. The diagnostic accuracy of CT examination and general radiography was significantly different (P < 0.05). Conclusion: In the clinical diagnosis of solitary spherical pulmonary lesions, CT examination has a higher diagnostic coincidence rate than general radiography, which can effectively identify various diseases, contribute to the development of follow-up treatment and can be popularized.
文摘Objective: to explore the clinical application value of this imaging examination method in clinical application by strictly selecting 90 patients with acute thoracic and abdominal trauma diagnosed by multi-slice spiral CT in our hospital for clinical analysis. Methods: the study period of this study was from January 2021 to December 2021. The sample was 90 patients who received acute thoracic and abdominal trauma treatment in our hospital within the above time interval. All patients were examined by multi-slice spiral CT after hospitalization. The examination results were compared with the pathological diagnosis results. Results: through data analysis, the difference between the accuracy of the results of multi-slice spiral CT examination and the accuracy of the results of clinical and pathological diagnosis is relatively small (P > 0.05). The specificity and accuracy of multi-slice spiral CT examination are relatively high, and the positive predictive value is relatively high. Conclusion: the data results of this study show that the application of multi-slice spiral CT examination in the clinical treatment of patients with acute thoracic and abdominal trauma has higher diagnostic accuracy, which is beneficial to better judge the patient's condition, and can further improve the quality and efficiency of clinical examination, thus providing more timely and effective treatment for patients.
文摘Objective: to analyze the application of CT imaging in the diagnosis of chronic pancreatitis and pancreatic cancer. Methods: 100 subjects were selected from March 2018 to May 2020. According to the disease types, they were divided into 60 cases of pancreatitis group and 40 cases of pancreatic cancer group. All patients underwent CT imaging examination, and the difference of CT signs between the two groups was analyzed and compared. Results: Compared with the group of pancreatitis, the group of pancreatic cancer has the features of enlarged lesion area, uniform expansion of distal pancreatic duct, clear lesion area and uneven density (P<0.05). Conclusion: the application of CT imaging examination can effectively differentiate the diagnosis of chronic pancreatitis and pancreatic cancer, which is beneficial to the later treatment of patients and has positive significance for improving the prognosis of patients. It is worthy of promotion.
文摘Objective:To discuss the early imaging features of novel coronary pneumonia(NCP)and its differential diagnosis with common pneumonia for the clinical Provide relatively correct imaging diagnosis.Methods:A review of 10 cases of novel coronavirus pneumonia diagnosed in our hospital and surrounding counties was collected,and our hospital's 2019-2020 Common pneumonia such as influenza A and B virus pneumonia,lobar pneumonia and adenovirus confirmed by laboratory tests and abnormal chest radiographs Ten patients each with pneumonia,a total of 40 patients,were collected and their imaging features were analyzed.Results:In 10 patients with neo-coronary pneumonia,there were 30 lesions on chest CT,with typical characteristic lesions containing bronchograms within their Angiographic thickening;located in the subpleura,with grinding glass-like or combined solid changes,referred to as"extratubular halo",with multifocal and multifocal distribution.Morphology or unilobular large lamellar foci without lymph node enlargement and pleural effusion;10 cases of influenza A and B virus pneumonia in chest CT performance In nine patients,the lesions were distributed in the subpleural or along the perimeter of the bronchial vessels in the form of an analogous circular ground-glass shadow,some of which was a small piece of solid shadow,1 The case involved a single lobe of the lung and showed a large mixed ground glass image,and the CT in 10 cases of lobar pneumonia showed that they all had a single large solid lobe The variegated shadow or patchy cloud with blurred margins was triangularly altered with the tip pointing to the lung portal,and there were five cases of air-containing bronchograms.Adenoviral pneumonia is more common in infants and young children,and CT showed single or multiple grinded glass images in both lungs with patchy solid variegated shadows and lobar distribution.Conclusion:NCP and common pneumonia have certain imaging features that,in combination with laboratory tests and epidemiologic history,allow a preliminary diagnosis to be made.It has certain directions and help for clinical diagnosis.
