Diagnostic value of multi-slice spiral CTin patients with emergency chest pain
- VernacularTitle:多层螺旋CT在急诊胸痛患者中的诊断价值分析
- Author:
Ting QIAO
1
;
Xuehui WEN
;
Yanrong MIAO
;
Zhihui DONG
Author Information
1. 牡丹江医学院附属红旗医院急诊科
- Keywords:
Multi-slice spiral CT;
Emergency;
Diagnostic value of chest pain;
Conventional coronary angiography
- From:
China Modern Doctor
2018;56(15):121-123
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the diagnostic value of multi-slice spiral CTin 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 CTexamination. The examination results of multi-slice spiral CTexamination 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 CTand those with conventional coronary angiography(P＞0. 05). The patient's satisfaction with multi-slice spiral CTwas 96. 30％, which was significantly higher (P＜0. 05). Conclusion For patients with emergency chest pain, the detection of multi-slice spiral CTis 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.
