一站式CT检查系统在急性胸痛患者干预方案中的应用

本研究探讨一站式CT检查系统在急性胸痛患者管理中干预方案的应用。将符合急性胸痛患者49例纳入研究,采用自动触发方式采集患者上胸部volume数据集和心胸部volume数据集,经过处理后获得胸主动脉、冠状动脉、肺动脉及全胸部图像。本研究中,测量结果发现平均CT值主动脉弓是(332±51)Hu,升主动脉是(435±53)Hu,肺动脉干是(491±93)Hu,降主动脉是(454±70)Hu,而左冠状动脉和右冠状动脉分别是(425±60)Hu、(415±62)Hu。病变鉴定发现,急性肺栓塞12例,主动脉弓动脉粥样硬化斑块破裂8例,肺组织实变4例,慢性肺栓塞伴右心衰竭2例,胸腔积液2例,左冠状动脉非关键性狭窄11例,右冠状动脉非关键性狭窄7例,心包积液2例,复合解剖畸形1例。总之,本研究通过一站式CT检查系统对急性胸痛患者干预方案的制定提供了重要指导。

Application of One-stop CT Examination System in the Intervention Program in the Management of Patients with Acute Chest Pain

This study explored the application of a one-stop CT examination system in the management of patients with acute chest pain. In this study, 49 patients with acute chest pain were included. The upper chest volume data set and the cardiothoracic volume data set were collected by automatic triggering, and the images of the thoracic aorta, coronary artery, pulmonary artery and full chest were obtained after processing. In this study, the measurement results found that the average CT value of the aortic arch was(332±51) Hu, the ascending aorta was(435±53) Hu, the pulmonary trunk was(491±93) Hu, and the descending aorta was(454±70) Hu, and the left coronary artery and right coronary artery are(425±60) Hu and(415±62) Hu respectively. The results of the lesions found that there were 12 cases of acute pulmonary embolism, 8 cases of aortic arch atherosclerotic plaque rupture, 4 cases of pulmonary tissue consolidation, 2 cases of chronic pulmonary embolism with right heart failure, 2 cases of pleural effusion, and left coronary artery non-critical. There were 11 cases of stenosis, 7 cases of non-critical stenosis of right coronary artery,2 cases of pericardial effusion,and 1 case of compound anatomical deformity.In short,this study provides an important guiding significance for the formulation of intervention programs for patients with acute chest pain through the one-stop CT examination system.