乔婷 温学慧 缪颜嵘 董智慧

[摘要] 目的 分析多層螺旋CT在急诊胸痛患者中的诊断价值。 方法 将2016年10月27日～2017年10月27日期间本院急诊科收治的81例胸痛患者作为研究对象，所有患者均进行多层螺旋CT检查，将检查结果与常规冠状动脉造影检查结果进行对比分析。同时比较患者在不同检查期间的心率水平以及满意度情况。 结果 多层螺旋CT共检出冠状动脉狭窄者64例，占比79.01%；主动脉夹层9例，占比11.11%；肺动脉栓塞8例，占比9.88%。常规冠状动脉造影检查中，共检出冠状动脉狭窄者64例，占比79.01%；主动脉夹层10例，占比12.35%；肺动脉栓塞7例，占比8.64%。两种检查方式检查结果相比，差异无统计学意义（P>0.05）；多层螺旋CT检查患者的心率水平与常规冠状动脉造影检查对比差异并不显著（P>0.05）；患者对多层螺旋CT检查的满意度为96.30%，明显更高（P<0.05）。 结论 对于急诊胸痛患者，采用多层螺旋CT检查对其病因的检出情况与常规冠状动脉造影检查相似，且对患者的心率影响小，属于临床诊断急诊胸痛的理想检查方式。

[关键词] 多层螺旋CT；急诊；胸痛诊断价值；常规冠状动脉造影

[中图分类号] R816.4；R441 [文献标识码] B [文章编号] 1673-9701（2018）15-0121-03

Diagnostic value of multi-slice spiral CT in patients with emergency chest pain

QIAO Ting1 WEN Xuehui2 MIAO Yanrong3 DONG Zhihui2

1.Department of Emergency， Mudanjiang Medical College Affiliated Hongqi Hospital， Mudanjiang 157000， China； 2.Imaging Department， Mudanjiang Medical College Second Affiliated Hospital， Mudanjiang 157000， China； 3.Department of Psychiatry and Psychology， Mudanjiang Medical College Affiliated Hongqi Hospital， Mudanjiang 157000， China

[Abstract] Objective To analyze the diagnostic value of multi-slice spiral CT in patients with emergency chest pain. Methods 81 patients with chest pain admitted in the Department of Emergency in our hospital from October 27， 2016 to October 27， 2017 were investigated. All patients underwent multi-slice spiral CT examination. The examination results of multi-slice spiral CT examination were compared with those of conventional coronary angiography. At the same time， the patient's heart rate and satisfaction during different examinations was compared. Results There were 64 patients with coronary artery stenosis， 9 patients with aortic dissection， 8 patients with pulmonary embolism were detected by multi-slice spiral CT， accounting for 79.01%，11.11% and 9.88%，respectively. There were 64 cases of coronary artery stenosis， 10 cases of aortic dissection and 7 cases of pulmonary embolism detected by routine coronary angiography examination， accounting for 79.01%， 12.35% and 8.64%， respectively. There was no significant difference between the results of the two examination methods（P>0.05）. There was no significant difference in the level of heart rate between patients with multi-slice spiral CT and those with conventional coronary angiography（P>0.05）. The patient's satisfaction with multi-slice spiral CT was 96.30%， which was significantly higher（P<0.05）. Conclusion For patients with emergency chest pain， the detection of multi-slice spiral CT is similar to that of routine coronary angiography in the cause of the disease， and has little influence on the patient's heart rate， which is an ideal method for clinical diagnosis of chest pain.

[Key words] Multi-slice spiral CT； Emergency； Diagnostic value of chest pain； Conventional coronary angiography

在医院急诊科中，收治的患者常见病多为胸痛，在急诊科病因中占40%以上[1]。对于胸痛患者，其常见原因较多，其中包括急性冠脉综合征（acutecoronary syndrome）、急性主动脉夹层（acuteaortic dissection）以及肺栓塞（pulmonary embolism），以上各种疾病均具有病情危急、进展较快等特点，临床需要尽早做出诊断，并给予积极的治疗方案[2]。因此，对急诊科医生提出了较高的要求，其所面临的挑战较大。随着我国社会人口老龄化现象的日益加剧，冠心病的发生率呈逐年上升趋势，严重威胁患者的生命安全，降低其生活质量[3]。本研究中，为寻找出一种有效且无……