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核医学显像在急诊医学中的应用

The Value of Nuclear Medicine Imaging to the Department of Emergency

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【作者】 张承刚; 王建民; 李思进; 韩树杰; 刘建中; 李险峰; 韩钢; 胡光; 王进;

【Author】 Zhang Chenggang, WangJianmin, Li Sijin, et al. Department of nuclear Medicine, 1st Hospital, Shanxi Medical University, Department of Nuclear Medicine, 2nd Hospital, Shanxi Medical University, Taiyuan, 030001, P. R. China.

【机构】 山西医科大学第一医院核医学科; 第二医院核医学科; 山西医科大学第一医院核医学科 太原市; 030001; 太原市; 030001;

【摘要】 目的:探讨核素显像在急诊显像中的应用价值。方法:105例急诊核素显像分为4组,A组78例行急诊心肌显像;B组5例行急诊脑显像;C组15例行急诊胃肠道出血显像;D组7例行急诊大血管显像。结果:78例急诊心肌显像中,阳性74例;阴性4例;5例急诊脑显像全部阳性;15例胃肠道出血显像中6例阳性,9例阴性;7例大血管显像全部阳性。结论:核素显像在急诊医学中能发挥重要作用。

【Abstract】 Purpose: This study is to evaluate the clinical value of NM urgent imaging to the department of emergency. Methods: A hundred and five patients(pts) can be divided into 4 main groups. Group(G) A consisted of 78 pts admitted with chest pain and had myocardial perfusion imaging with Tc99m - MIBI(925 MBq) . GB was 5 pts with signs and symptoms of cerebral vascular accident, but negative CT. Brain SPECT was performed with Tc99m - ECD(925 - 1110MBq). GC was 15 pts with gastrointestinal bleeding(GIB) from unknown site. The GIB imaging was performed with in - vivo labeled Tc99m - RBC(925 - 1110 MBq) . 7 pts with acute peripheral vascular occlusive diseases were included in GD. Arterial imaging was performed with Tc99m - RBC (925 - 1110 MBq) and venous imaging with Tc99m - MAA( 111 - 185 MBq) . Results: There were 74 positive imaging and 4 negative imaging in GA. All of brain imaging was positive in GB. There were 6 positive and 9 negative imaging in GC. Every pt had a positive result in GD. Conclusion: The above study demonstrates that nuclear medicine procedures can play an important role in the management of some of the pts that come to the emergency room.

【关键词】 急诊; 核医学显像;
【Key words】 Emergency Nuclear medicine imaging;
  • 【分类号】R817.4
  • 【下载频次】46
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