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胸主动脉夹层的CT表现

CT findings in thoracic aortic dissection.

作者信息

Heiberg E, Wolverson M, Sundaram M, Connors J, Susman N

出版信息

AJR Am J Roentgenol. 1981 Jan;136(1):13-7. doi: 10.2214/ajr.136.1.13.

DOI:10.2214/ajr.136.1.13
PMID:6779559
Abstract

Computed tomography (CT) findings in 11 cases of aortic dissection were correlated with aortographic, surgical, or postmortem findings. In another two patients, the CT findings were considered diagnostic of aortic dissection but no further workup was performed. All the CT examinations were made before and after bolus injection of contrast. Many of the familiar angiographic signs were appreciated on CT, such as a thickened aortic wall, septum between two opacifying lumens, differential time density between the two lumens, and compression of the true lumen. No false-positive or false-negative studies were encountered. This experience suggests that CT is a reliable, noninvasive method for the diagnosis of aortic dissection.

摘要

对11例主动脉夹层患者的计算机断层扫描(CT)结果与主动脉造影、手术或尸检结果进行了对比。另外两名患者的CT结果被认为可诊断主动脉夹层,但未进行进一步检查。所有CT检查均在静脉推注造影剂前后进行。CT上可看到许多常见的血管造影征象,如主动脉壁增厚、两个显影腔之间的隔膜、两个腔之间的时间密度差异以及真腔受压。未出现假阳性或假阴性检查结果。该经验表明,CT是诊断主动脉夹层的一种可靠的非侵入性方法。

相似文献

1
CT findings in thoracic aortic dissection.胸主动脉夹层的CT表现
AJR Am J Roentgenol. 1981 Jan;136(1):13-7. doi: 10.2214/ajr.136.1.13.
2
[Evaluation of aortic dissection by transverse computerized tomography (CT scan)].[通过横断计算机断层扫描(CT扫描)评估主动脉夹层]
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Computed tomography in dissection of the thoracic aorta.胸主动脉夹层的计算机断层扫描
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Computed tomography in the diagnosis of aortic aneurysm dissection or traumatic injury.
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[Usefulness of transesophageal echocardiography in thoracic aortic disease: comparison with computed tomography and angiography].经食管超声心动图在胸主动脉疾病中的应用:与计算机断层扫描和血管造影的比较
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引用本文的文献

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Tomography. 2022 Sep 28;8(5):2426-2434. doi: 10.3390/tomography8050201.
2
Imaging of aortic dissection by helical computed tomography (CT).螺旋计算机断层扫描(CT)对主动脉夹层的成像
Eur Radiol. 2004 Nov;14(11):1999-2008. doi: 10.1007/s00330-004-2441-y. Epub 2004 Aug 5.
3
Comparison of conventional and transesophageal echocardiography with magnetic resonance imaging for anatomical mapping of thoracic aortic dissection. A dual noninvasive imaging study with anatomical and/or angiographic validation.
传统经胸超声心动图与经食管超声心动图用于胸主动脉夹层解剖定位并与磁共振成像比较:一项具有解剖学和/或血管造影验证的双无创成像研究
Int J Card Imaging. 1994 Mar;10(1):1-14. doi: 10.1007/BF01151576.
4
Aortic rupture in a previously undiagnosed case of the Ehlers-Danlos syndrome.
Pediatr Radiol. 1982;12(2):86-8. doi: 10.1007/BF00972439.
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Computed tomography in patients with hypertrophic cardiomyopathy.肥厚型心肌病患者的计算机断层扫描
Br Heart J. 1984 Aug;52(2):136-9. doi: 10.1136/hrt.52.2.136.
6
Detection of aortic dissection by transoesophageal echocardiography.经食管超声心动图检测主动脉夹层。
Br Heart J. 1987 Jul;58(1):45-51. doi: 10.1136/hrt.58.1.45.