疑诊肺动脉栓塞患者CT动脉成像肺动脉达峰时间的相关个体因素
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成都中医药大学2019年度“杏林学者”医院专项(YYZX2019082);重庆科卫联合医学科研重点项目(2019ZDXM022)


Study on individual factors associated with pulmonary artery peak time in CT arterial imaging of patients with suspected pulmonary embolism
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    目的 探讨疑诊肺动脉栓塞患者的个体因素对肺动脉达峰时间的影响。方法 收集我院2016年8月~2020年12月采用小剂量团注法行肺动脉CT血管成像(CTPA)的被检者153例,行CTPA检查前10~30 min内详细记录患者的性别、年龄、身高、体重,待患者静息10~15 min后测量并记录心率、收缩压和舒张压。在气管分叉层面采用小剂量团注法测算肺动脉的达峰时间。分析疑诊肺动脉栓塞患者的个体因素与达峰时间的相关性。结果 153例疑诊肺动脉栓塞患者的肺动脉达峰时间的中位数为9.07 s,肺动脉达峰时间与患者性别、身高和体重均有相关性(均P<0.05),与年龄、心率、舒张压和收缩压均无相关性(均P>0.05)。结论 影响疑诊肺动脉栓塞患者的肺动脉达峰时间的主要因素是性别、身高和体重,在临床扫描实践中综合应用上述主要因素将有利于指导临床对疑诊肺动脉栓塞患者肺动脉CTA成像的精准化和个性化扫描。

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    Objective To investigate the influence of individual factors on pulmonary artery peak time in patients with suspected pulmonary embolism.Methods Gender, age, height, weight, heart rate, systolic and diastolic blood pressure were collected from patients with suspected pulmonary artery embolism within 30 minutes prior to the examination, and the pulmonary artery peak time was measured at the level of the tracheal bifurcation by test-bolus method, and the correlation between individual factors and peak time in patients with suspected pulmonary artery embolism was statistically analyzed using SPSS 23 software.Results The median pulmonary artery peak time in 153 patients with suspected pulmonary embolism was 9.07 s. The pulmonary artery peak time was significantly different from patient gender (P<0.05), height (P<0.05), and weight (P<0.05) but not from age (P>0.05), heart rate (P>0.05), diastolic blood pressure (P>0.05), and systolic blood pressure (P>0.05).Conclusion The main factors influencing the pulmonary artery peak time of patients with suspected pulmonary embolism were gender, height and weight, and this result will be useful in guiding clinical precision and individualized scanning of pulmonary CTA imaging in patients with suspected pulmonary embolism.

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  • 在线发布日期: 2022-04-15
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