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目的探讨急诊腹部CT对急性肠系膜血管栓塞的诊断价值。方法择取90例患者,按照随机数字表将上述患者随机分为研究组和对照组,各45例。对照组患者进行剖腹探查的方式诊断,研究组患者采用CT式扫描机方式进行检测。检查后,比较两组患者的诊断结果及并发症发生率。结果 1研究组中失血量为0mL、检查时间为(25.1±2.9)min,医疗费用为(0.65±0.12)万元,均明显低于对照组,且差异有统计学意义(P<0.05);而确诊率为88.9%,与对照组无明显差异(P>0.05);2研究组中食欲缺乏为1例患者,并发症的发生率为2.2%,明显低于对照组,且差异有统计学意义(P<0.05)。结论急诊腹部的CT检查能准确判断是否有栓塞情况存在于肠系膜血管中,具有有效、快捷等优点,值得临床广泛推广应用。
Objective To investigate the diagnostic value of emergency abdominal CT in acute mesenteric embolism. Methods Totally 90 patients were selected and randomly divided into study group and control group according to random number table, with 45 cases in each group. Patients in the control group were diagnosed by laparotomy, while patients in the study group were examined by CT scanner. After the examination, the diagnosis results and complication rates of the two groups were compared. Results 1 The blood loss in study group was 0mL, the time of examination was (25.1 ± 2.9) min and the cost of medical treatment was (0.65 ± 0.12) million, which were significantly lower than that of the control group (P <0.05). While the diagnosis rate was 88.9%, there was no significant difference with the control group (P> 0.05) .2 The appetite deficiency in the study group was 1 patient, the incidence of complications was 2.2%, significantly lower than the control group, and the difference was statistically significant Significance (P <0.05). Conclusion The CT examination of emergency abdomen can accurately determine whether there is embolism in the mesenteric vessels, which is effective and quick. It is worthy of extensive clinical application.