[1]李 剑,杨倩利,代红阳,等.胸部平扫血液CT值和血液检验指标相关性研究[J].陕西医学杂志,2024,(7):954-957.[doi:DOI:10.3969/j.issn.1000-7377.2024.07.019]
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胸部平扫血液CT值和血液检验指标相关性研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2024年7期
页码:
954-957
栏目:
临床研究
出版日期:
2024-07-05

文章信息/Info

作者:
李 剑1杨倩利1代红阳1李 莉1王 楠1徐红维1夏方方1张 英1唐 腾1周 毅2
(1.西安凤城医院,陕西 西安 710016; 2.陕西省中医医院放射科,陕西 西安 710003)
关键词:
室间隔高密度征 胸部CT平扫 血常规 血红蛋白 血电解质 贫血
分类号:
R 556
DOI:
DOI:10.3969/j.issn.1000-7377.2024.07.019
文献标志码:
A
摘要:
目的:探讨胸部平扫血液CT值和血液检验指标相关性研究。方法:回顾性分析75例患者一般资料、胸部CT平扫影像资料及血常规,血电解质结果,其中45例为试验组,胸部CT平扫可见室间隔高密度征,心腔内密度明显低于室间隔密度,其余30例为对照组。测量所有患者左心室心腔CT值,主动脉CT值,室间隔CT值,血红蛋白,血细胞计数,红细胞体积,红细胞分布宽度,血电解质K+,Na+,Cl-,Ca2+等,分析并比较各参数差异。结果:试验组左心室腔血液CT值、室间隔与左心室腔CT值比较显著低于对照组,差异有统计学意义(均P<0.05); 试验组患者中,血红蛋白﹑血细胞计数﹑红细胞体积﹑红细胞分布宽度均低于对照组,差异有统计学意义(均P<0.05)。两组主动脉CT值、室间隔CT值、血电解质K+、Na+、Cl-、Ca2+离子浓度比较差异无统计学意义(均P>0.05)。结论:血液相关红细胞生化检验指标对平扫CT值有一定的影响,在胸部平扫的扫描过程中可以间接评估红细胞相关检验值。

参考文献/References:

[1] 冷琦,张洁,勾振恒,等.胸部CT平扫诊断贫血的准确性及误诊分析[J].临床医药文献电子杂志,2015,2(11):2038-2040.
[2] 丛黎.胸部CT平扫在诊断贫血中的价值探讨[J].现代医用影像学,2019,28(10):2217-2219.
[3] DECKER J A,HUBER A,SENEL F,et al.Anemia detection and quantification in contrast-enhanced CT scans on a novel photon-counting detector CT:A prospective proof-of-concept study[J].European Journal of Radiology,2023,166:1-7.
[4] GENNARI A G,GRÜNIG H,BENZ D C,et al.Low-dose CT from myocardial perfusion SPECT/CT allows the detection of anemia in preoperative patients[J].Journal of Nuclear Cardiology,2022,29(6):3236-3247.
[5] HAGITA T S,SHIOTANI N,TOYAM A,et al.Correlation between Hounsfield Unit values of blood in CT on immediate postmortem CT after cardiopulmonary resuscitation and antemortem hemoglobin levels[J].Forensic Imaging,2022,30,200515.
[6] JUNG C,GROTH M,BLEY T A,et al.Assessment of anemia during CT pulmonary angiography[J].European Journal of Radiology,2012,81(12):4196-4202.
[7] GBD 2021 Anaemia Collaborators.Prevalence,years lived with disability,and trends in anaemia burden by severity and cause,1990-2021:Findings from the Global Burden of Disease Study 2021[J].Lancet Haematol,2023,10(9):e713-e734.
[8] 樊楚,黄觊,闫航语,等.老年急性冠状动脉综合征患者贫血对预后影响的系统评价[J].中华老年医学杂志,2023,42(4):458-462.
[9] 中华医学会血液学分会红细胞疾病(贫血)学组.铁缺乏症和缺铁性贫血诊治和预防的多学科专家共识(2022年版)[J].中华医学杂志,2022,102(41):3246-3256.
[10] HUNG S C,KUO K L,PENG C H,et al.Association of fluid retention with anemia and clinical outcomes among patients with chronic kidney disease[J].Journal of the American Heart Association,2015,4(1):1527-1535.
[11] 陶琳.原发性肝癌患者化疗后抗菌药物的应用及继发感染的危险因素分析[J].陕西医学杂志,2023,52(1):89-92.
[12] FOWLER A J,AHMAD T,PHULL M K,et al.Meta-analysis of the association between preoperative anaemia and mortality after surgery[J].British Journal of Surgery,2015,102(11):1314-1324.
[13] MUSALLAM K M,TAMIM H M,RICHARDS T,et al.Preoperative anaemia and postoperative outcomes in non-cardiac surgery:A retrospective cohort study[J].Lancet,2011,378(9800):1396-1407.
[14] 中华医学会外科学分会,中华外科杂志编辑委员会.普通外科围手术期缺铁性贫血管理多学科专家共识[J].中华外科杂志,2020,58(4):252-256.
[15] 黄海霞.胸部CT平扫在贫血疾病诊断中的应用价值[J].实用医学影像杂志,2017,18(3):259-260.
[16] CHEN D,GUO Y,LIU W,et al.Feasibility of thoracic CT in assessing anemia for aplastic anemia patients undergoing allogeneic hematopoietic stem cell transplantation[J].Journal of X-ray Science and Technology,2023,31(1):199-209.
[17] 中国抗癌协会肿瘤临床化疗专业委员会,中国抗癌协会肿瘤支持治疗专业委员会.中国肿瘤相关贫血诊治专家共识(2023版)[J].中华肿瘤杂志,2023,45(12):1032-1040.
[18] 熊婷,薛川松,颜晔.益气养血汤联合参芪扶正注射液治疗胃癌患者肿瘤相关性贫血疗效研究[J].陕西中医,2023,44(8):1065-1068.
[19] ZOPFS D,RINNEBURGER M,PINTO D,et al.Evaluating anemia using contrast-enhanced spectral detector CT of the chest in a large cohort of 522 patients[J].European Radiology,2021,31(6):4350-4357.
[20] IUGA A I,PENNIG L,CALDEIRA L L,et al.Prediction of anemia on enhanced computed tomography of the thorax using virtual non-contrast reconstructions[J].Medicine(Baltimore),2021,100(48):e28014.
[21] 陈小华.贫血患者胸部CT扫描血液CT值与血常规指标的相关性分析[J].中国医学创新,2023,20(4):164-168.
[22] DESAINT P,BERNARD C,CONTOU D.Diagnosing anemia with chest CT-scan:The aortic ring sign[J].The American Journal of the Medical Sciences,2022,363(2):e17.
[23] ABBASI B,HOSSEINI M S,GHALIBAF A,et al.Evaluating anemia on non-contrast thoracic computed tomography[J].Scientific Reports,2022,12(1):21380.
[24] ZHOU Q Q,YU Y S,CHEN Y C,et al.Optimal threshold for the diagnosis of anemia severity on unenhanced thoracic CT:A preliminary study[J].European Journal of Radiology,2018,108:236-241.
[25] 丁娟,李惠民,肖湘生,等.胸部CT平扫在诊断贫血中的价值[J].临床放射学杂志,2004,23(1):45-48.

备注/Memo

备注/Memo:
基金项目:陕西省重点研发计划项目(2023-YBSF-512)
更新日期/Last Update: 2024-07-04