【摘要】 目的分析9例急性心包填塞(TMP)患者CT成像特点及预后。方法回顾性分析2013年10月—2015年1月丰县人民医院收治的9例TMP患者的临床资料,总结其CT成像特点及预后。结果 CT成像特点:9例患者均见心包积液(心包腔最厚处1.8~5.4 cm,平均3.7 cm;CT值26~32 HU,平均28.4 HU)。8例Stanford A型主动脉夹层破裂患者升主动脉增宽(直径6.9~8.5 cm,平均7.3 cm),呈管腔内线样征、双腔征;伴肺内渗出3例、胸腔积液3例、纵隔积液3例、肺部马赛克灌注2例、慢性支气管炎肺气肿2例。1例胸部创伤患者未见其他异常表现。预后:1例创伤患者转上级医院手术治疗后痊愈,余8例患者CT检查后1~72 h内死亡。结论 9例TMP患者CT检查均见心包积液,多见升主动脉增宽,管腔内线样征、双腔征,预后多不良。更多还原

【Abstract】 Objective To analyze the CT imaging and prognosis of 9 patients with acute pericardial tamponade.Methods A total of 9 patients with acute pericardial tamponade were selected in People’ s Hospital of Fengxian from October2013 to January 2015,and their clinical data was retrospectively analyzed to summarize the CT imaging and prognosis. Results All of the 9 patients showed hydropericardium,the thickest pericardial cavity ranging at 1. 8 to 5. 4 cm,average at 3. 7 cm; the CT attenuation value was 26 to 32 HU,average at 28. 4 HU. Of the 9 patients,8 patients with Stanford type A aortic dissection rupture showed widened ascending aorta,the diameter was 6. 9 to 8. 5 cm,average at 7. 3 cm,with intra- lumen string sign or double- lumen sign; 3 patients occurred intra- pulmonary exudation,3 patients occurred pleural effusion,3 patients occurred mediastinal effusion, 2 patients occurred lung mosaic perfusion, 2 patients occurred chronic bronchitis complicated with pneumonectasis. Of the 9 patients,1 patient with chest trauma did not show other obvious abnormal CT imaging, and was transferred to superior hospital to receive operation,and was cured; other 8 patients were dead within 1 to 72 hours after CT examination. Conclusion All of the 9 patients with acute pericardial tamponade show hydropericardium, and widened ascending aorta,intra- lumen string sign and double- lumen sign are common CT imaging,while the prognosis is poor.更多还原