计算机断层扫描：主动脉夹层的首选检查方法？

Singh H, Fitzgerald E, Ruttley M S

Br Heart J. 1986 Aug;56(2):171-5. doi: 10.1136/hrt.56.2.171.

Computed tomography has become established as complementary to aortography in the investigation of patients with suspected aortic dissection. Two cases of dissecting aneurysm are reported in which extensive aortography failed to show evidence of dissection. In both cases dissection was demonstrated by computed tomography. The diagnosis was confirmed in one case at operation and in the other case by follow up. It is suggested that computed tomography is the diagnostic method of first choice in aortic dissection.

计算机断层扫描已成为怀疑有主动脉夹层的患者检查中主动脉造影的辅助手段。本文报告两例夹层动脉瘤病例，其中广泛的主动脉造影未能显示夹层证据。在这两例中，计算机断层扫描均显示了夹层情况。一例通过手术确诊，另一例通过随访确诊。建议计算机断层扫描是主动脉夹层的首选诊断方法。