慢性左心功能不全CT征象研究.docVIP

慢性左心功能不全CT征象研究【摘要】目的分析慢性左心功能不全（The chronic left heart function is incomplete，CLHFI）CT征象特点，探讨其诊断的价值。方法:对25例胸部X线平片疑CLHFI患者行胸部CT平扫，分别行肺窗和纵隔窗观察，了解肺门、肺纹理、肺野、胸膜腔及心脏房室改变。结果:CT扫描显示两侧肺纹理不同程度增粗、紊乱、模糊，肺野清晰度下降25例，胸膜腔/叶间裂中量或少量积液23例，胸腔积液并心包腔内少量积液5例和左房和左室不同程度扩大25例。结论:慢性左心功能CT扫描具有特征性表现，胸部CT扫描对诊断CLHFI具有重要的临床价值。 【关键词】慢性左心功能不全; 体层摄影术；Ⅹ线计算机 uquan-Dai 2zhangxiaoge dengzhenping chenjunhui renyi Dai shu quanHan shun liangLiu hui 【Abstract】 Purpose Analyse the incomplete (The of chronic left heart function chronic left heart function is incomplete, CLHFI) CT sign characteristic , the value discussing whose diagnose Methods Flat to 25 example bosoms X line movie doubts the CLHFI patient line bosom CT tie sweeping , do the lung window respectively and observe even if being separated by a window, the .know about lung door , lung vein , the lung are uncultivated , the pleura cavity and the heart house room change. Results The vein demonstrating the two flanks lung increases a computed tomography scan to varying degrees rude , disorderly , blurred, lung open space articulation comes down 25 examples, the pleura cavity/ leaf thins out crack to be hit by amounts or a few product liquid 23 regular , thoracic products liquid and a few pericardium cavity inner products liquid 5 examples degree different from the left house and the left room expands 25 examples. Conclusion The heart function computed tomography scan has chronic left the characteristic shows , the bosom computed tomography scan has clinical important value to diagnosing CLHFI. 【Keywords】 The chronic left heart function is incomplete；Tomography;Ⅹ-ray computer 【中图分类号】R156.3 【文献标识码】B【文章编号】1005-0515(2011)08-0041-02 左心功能不全是临床常见疾患，急性左心功能不全常有典型临床症状与体征，Ⅹ线胸部平片或胸部CT扫描具有特征性表现［1］，而CLHFI临床症状与体征常不典型，且X线胸片检查影像表现不具特征性，因而临床极易误诊或漏诊。本研究旨在分析CLHFI CT征象特点，探讨胸部CT平扫对CLHFI的诊断价值。 1 材料和方法 1.1 对象本组25例中，男16例、女9例，年龄55-75岁，平均67岁。病史1周至5个月。临床主要症状:咳嗽、气促、乏力25例，胸闷13例，咳淡红色血痰6例。原发病因:高血压病9例、冠心病8例、慢性肾炎4例和糖尿病4例。在外院以“感冒”、“慢性支气管炎”和“支气管肺炎”诊治1-3周临床症状无改