胸痛三联征CTA对急性胸痛患者的临床应用及诊断价值

胸痛三联征CTA对急性胸痛患者的临床应用及诊断价值摘要目的：本研究探讨了胸痛三联征CTA检查结果在急性胸痛诊断方面的应用和价值，以便为临床诊断提供更为精确的影像学检查方式。方法：本文基于近三年来中国人民解放军总医院第四医学中心30例急性胸痛患者的CTA检查资料、数据及常规检查结果，通过回顾性分析胸痛三联征CTA扫描方案在检出特定疾病、降低辐射剂量以及提高工作效率等方面的表现，评估其扫描优势。在其影像成像表现上，根据临床医生的诊断结果及其准确率来分析其相关性，探究胸痛三联征CTA对急性胸痛的应用。结果：主任医师对30份CTA影像结果进行主观评价，对血管形态及病变显示等综合性评价其合格率为77%，与临床医生下达诊断准确率基本一致。其检查时间优于传统CTA检查法，一次扫描可观察三个动脉血管。全面性高于普通检查只能观察一处且还需结合其他检查。对比剂使用量和辐射量均少于传统检测法。结论：在面临急性胸痛问题时可优先考虑胸痛三联征CTA检查，再根据患者的实际情况，综合考虑各种因素，选择最佳的扫描方案。关键词：CT血管成像：胸部三联检查：急性胸痛；多层螺旋CTABSTRACTObjective:This study explored the application and value of CTA results in the diagnosis ofacute chest pain in order to provide more accurate imaging methods for clinical diagnosis.Methods:This paper is based on the recent three years of the Chinese people's liberation armygeneral hospital fourth medical center 30 cases of patients with acute chest pain CTAexamination data,data and routine examination results,through the retrospective analysis ofchest pain triad CTA scanning scheme in detecting specific diseases,reduce the radiation doseand improve the work efficiency of performance,evaluate the scanning advantage.On theimaging performance,the correlation was analyzed according to the diagnostic results ofclinicians and their accuracy,to explore the application of chest pain triad CTA for acute chestpain.Results:The chief physician conducted a subjective evaluation of 30 CTA imaging results,and the qualified rate of the comprehensive evaluation of vascular morphology and lesiondisplay was 77%,which was basically the same as the diagnostic accuracy assigned by clinicians.The examination time is better than that of the traditional CTA examination method,and threearteries can be observed in one scan.Comprehensiveness is higher than the general inspectionand can only observe one place and should be combined with other examinations.The contrastagent used and the radiation amount are less than the traditional detection method.Conclusion:When faced with acute chest pain problems,consider chest pain triad CTA examination,andchoose the best scanning scheme according to the actual situation of the patient.Key words:CT angiography;Chest triplet;Acute chest pain;Multi-slice spiral CT张家口学院毕业设计（论文）目录第1章引言.…1.1研究的目的与意义1.2研究背景..第2章资料与方法.32.1一般资料32.2检查方法..3第3章结果.….5第4章讨论.64.1常规检查手段局限性】.64.2胸痛CTA应用价值….7结论.8参考文献…9致谢….10以