|
The <?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" />Basic Hospital’s Spiral CT’S Support in Acute Pulmonary Embolism<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
卢云峰 秦俊明
山西省襄汾县人民医院，山西 041500
Yun－feng Lu，Jun－ming Qin
Xiang－fen Hospital，Shanxi 041500
ABSTRACT
Objective： by retrospectively analyzing the clinical features and CT symptoms during the treatment of 34 cases in our hospital to investigate the effect of the Spiral CT scanning on the clinical PE.
Methods： 34 examples PE line of spiral CT evenly sweeps， the suspiciouspathological change district bank high resolution thin layer scanning（HRCT）， drafts according to the clinical symptom and CT likely contrasts， discusses its relevance.
Results： the 3 clinical features of the 34 PE cases （1） paroxysmal hard breath or aggravating hard breath；（2） non－casual shock；（3） the breast suffocating attack；and the features of Spiral CT scanning are （1）the wedge－shaped lung or focal reaction；（2）limited change of the lung marking；（3）single or double lateral pleural effusion；（4）heart－sac effusion；（5） the callback after the treatment showing the disappear of the focus； the sensibility of the Spiral CT checking PE is 85％.
Conclusion： Without Pulmonary angiography， by using the spiral CT scanning with HRCT， joining the accessories of the heart type－B ultrasonic，electrocardiogram and inspection， the basic hospital can positively diagnose the PE of the case of typical clinical symptoms， physical symptoms and CT’s abnormal symptoms， giving a strong support in the clinical treatment.
Key words： Basic hospitals；Pulmonary embolism；Spiral CT | 
