急性胸痛三联征多层螺旋CT检查技术专家共识

2021-01-30 中华放射学杂志.2021.55(1):12-18.

急性胸痛是心血管内科及急诊科最常见的疾病之一,其起病急,可危及生命,最常见的病因包括急性冠状动脉综合征、肺动脉栓塞和主动脉夹层,对病因进行早期明确及对高危胸痛患者进行有效筛查有利于减少并发症,降低死亡

中文标题:

急性胸痛三联征多层螺旋CT检查技术专家共识

发布机构:

发布日期:

2021-01-30

简要介绍:

急性胸痛是心血管内科及急诊科最常见的疾病之一,其起病急,可危及生命,最常见的病因包括急性冠状动脉综合征、肺动脉栓塞和主动脉夹层,对病因进行早期明确及对高危胸痛患者进行有效筛查有利于减少并发症,降低死亡率。多层螺旋CT具有成像速度快、对急性胸痛早期诊断准确度高的优点,被广泛地应用于临床,而胸痛三联征检查一次扫描可同时观察冠状动脉、肺动脉和主动脉,大大提高了诊断效率。为进一步规范急诊胸痛三联征多层螺旋CT检查技术,为临床提供快速、准确的诊断,中华医学会影像技术分会牵头组织国内相关技术专家,结合国内外专家共识和参考文献,经国内专家多次讨论,对胸痛三联征多层螺旋CT检查技术的检查前准备、扫描方案、图像后处理、图像质量控制以及辐射剂量控制等内容达成共识,旨在规范急性胸痛三联征中多层螺旋CT检查方案,更好地服务于影像诊断和制定临床诊疗策略。

 

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#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1016441, encodeId=6e8e1016441c0, content=好东西, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=37c31425256, createdName=happylin67, createdTime=Sat Sep 11 01:55:39 CST 2021, time=2021-09-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973073, encodeId=34db9e30736e, content=好东西,科室正在准备开展, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92c343718, createdName=lm117f, createdTime=Sat Jun 12 16:54:05 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=969648, encodeId=455f969648c4, content=感谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=15af5509987, createdName=ms1000001560840768, createdTime=Sun May 30 16:02:41 CST 2021, time=2021-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=955167, encodeId=1fc095516e4f, content=好东西!但很多医院都不开展, beContent=null, objectType=guider, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=37c31425256, createdName=happylin67, createdTime=Thu Apr 08 11:20:43 CST 2021, time=2021-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949893, encodeId=06759498936f, content=good, beContent=null, objectType=guider, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20230128/5bbe75c57c6a4ba9894a2a0a98ca9582/c7761866d29a41f6af7ccc35e124717f.jpg, createdBy=be255123633, createdName=1463eea1m97暂无昵称, createdTime=Sun Mar 21 13:57:42 CST 2021, time=2021-03-21, status=1, ipAttribution=)]
    2021-09-11 happylin67

    好东西

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1016441, encodeId=6e8e1016441c0, content=好东西, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=37c31425256, createdName=happylin67, createdTime=Sat Sep 11 01:55:39 CST 2021, time=2021-09-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973073, encodeId=34db9e30736e, content=好东西,科室正在准备开展, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92c343718, createdName=lm117f, createdTime=Sat Jun 12 16:54:05 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=969648, encodeId=455f969648c4, content=感谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=15af5509987, createdName=ms1000001560840768, createdTime=Sun May 30 16:02:41 CST 2021, time=2021-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=955167, encodeId=1fc095516e4f, content=好东西!但很多医院都不开展, beContent=null, objectType=guider, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=37c31425256, createdName=happylin67, createdTime=Thu Apr 08 11:20:43 CST 2021, time=2021-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949893, encodeId=06759498936f, content=good, beContent=null, objectType=guider, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20230128/5bbe75c57c6a4ba9894a2a0a98ca9582/c7761866d29a41f6af7ccc35e124717f.jpg, createdBy=be255123633, createdName=1463eea1m97暂无昵称, createdTime=Sun Mar 21 13:57:42 CST 2021, time=2021-03-21, status=1, ipAttribution=)]
    2021-06-12 lm117f

    好东西,科室正在准备开展

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1016441, encodeId=6e8e1016441c0, content=好东西, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=37c31425256, createdName=happylin67, createdTime=Sat Sep 11 01:55:39 CST 2021, time=2021-09-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973073, encodeId=34db9e30736e, content=好东西,科室正在准备开展, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92c343718, createdName=lm117f, createdTime=Sat Jun 12 16:54:05 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=969648, encodeId=455f969648c4, content=感谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=15af5509987, createdName=ms1000001560840768, createdTime=Sun May 30 16:02:41 CST 2021, time=2021-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=955167, encodeId=1fc095516e4f, content=好东西!但很多医院都不开展, beContent=null, objectType=guider, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=37c31425256, createdName=happylin67, createdTime=Thu Apr 08 11:20:43 CST 2021, time=2021-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949893, encodeId=06759498936f, content=good, beContent=null, objectType=guider, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20230128/5bbe75c57c6a4ba9894a2a0a98ca9582/c7761866d29a41f6af7ccc35e124717f.jpg, createdBy=be255123633, createdName=1463eea1m97暂无昵称, createdTime=Sun Mar 21 13:57:42 CST 2021, time=2021-03-21, status=1, ipAttribution=)]
    2021-05-30 ms1000001560840768

    感谢

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1016441, encodeId=6e8e1016441c0, content=好东西, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=37c31425256, createdName=happylin67, createdTime=Sat Sep 11 01:55:39 CST 2021, time=2021-09-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973073, encodeId=34db9e30736e, content=好东西,科室正在准备开展, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92c343718, createdName=lm117f, createdTime=Sat Jun 12 16:54:05 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=969648, encodeId=455f969648c4, content=感谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=15af5509987, createdName=ms1000001560840768, createdTime=Sun May 30 16:02:41 CST 2021, time=2021-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=955167, encodeId=1fc095516e4f, content=好东西!但很多医院都不开展, beContent=null, objectType=guider, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=37c31425256, createdName=happylin67, createdTime=Thu Apr 08 11:20:43 CST 2021, time=2021-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949893, encodeId=06759498936f, content=good, beContent=null, objectType=guider, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20230128/5bbe75c57c6a4ba9894a2a0a98ca9582/c7761866d29a41f6af7ccc35e124717f.jpg, createdBy=be255123633, createdName=1463eea1m97暂无昵称, createdTime=Sun Mar 21 13:57:42 CST 2021, time=2021-03-21, status=1, ipAttribution=)]
    2021-04-08 happylin67

    好东西!但很多医院都不开展

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1016441, encodeId=6e8e1016441c0, content=好东西, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=37c31425256, createdName=happylin67, createdTime=Sat Sep 11 01:55:39 CST 2021, time=2021-09-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973073, encodeId=34db9e30736e, content=好东西,科室正在准备开展, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92c343718, createdName=lm117f, createdTime=Sat Jun 12 16:54:05 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=969648, encodeId=455f969648c4, content=感谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=15af5509987, createdName=ms1000001560840768, createdTime=Sun May 30 16:02:41 CST 2021, time=2021-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=955167, encodeId=1fc095516e4f, content=好东西!但很多医院都不开展, beContent=null, objectType=guider, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=37c31425256, createdName=happylin67, createdTime=Thu Apr 08 11:20:43 CST 2021, time=2021-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949893, encodeId=06759498936f, content=good, beContent=null, objectType=guider, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20230128/5bbe75c57c6a4ba9894a2a0a98ca9582/c7761866d29a41f6af7ccc35e124717f.jpg, createdBy=be255123633, createdName=1463eea1m97暂无昵称, createdTime=Sun Mar 21 13:57:42 CST 2021, time=2021-03-21, status=1, ipAttribution=)]
    2021-03-21 1463eea1m97暂无昵称

    good

    0

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