1、胸部急症胸部急症CT2013-10-09大致分类大致分类2013-10-09胸外伤胸外伤2013-10-09男，30岁，肺挫裂伤（外伤性肺大泡）2013-10-09女，55岁，外伤后就诊，左肺挫裂伤，左侧气胸2013-10-09同一病例，左侧多发肋骨骨折2013-10-09同一病例，VR图像直观显示骨折部位、移位情况2013-10-09男，43岁，外伤就诊，矢状位图像示胸骨骨折、纵隔气肿，脊柱多发骨折2013-10-09膈破裂膈破裂男，55岁，颅脑、胸腹外伤就诊2013-10-092013-10-09左侧多发肋骨骨折2013-10-09心脏破裂心脏破裂男，43岁，剪刀刺伤左胸部3小时就诊，神志
2、不清2013-10-092013-10-092013-10-09自发性气胸自发性气胸男，27岁，突发胸痛就诊，肺尖见有多发肺大泡2013-10-09纵隔气肿纵隔气肿男，男，24岁，胸部不适就诊，无外伤岁，胸部不适就诊，无外伤2013-10-09支气管异物支气管异物男，33岁，颅脑术后智障，误吸花生米呛咳2013-10-092013-10-09动脉瘤动脉瘤2013-10-092013-10-09测量血管真正断面真性动脉瘤真性动脉瘤Wall of artery forms the aneurysmAt least one vessel layer still intactFusiformCircu
3、mferential,relatively uniform in shapeSaccularPouchlike with narrow neck connecting bulge to one side of arterial wall梭形囊状2013-10-09假性动脉瘤假性动脉瘤nAlso called pseudoaneurysmnNot an aneurysmnDisruption of all layers of arterial wall Results in bleeding contained by surrounding structuresPseudoaneurysm:an
4、 outpouching of a blood vessel,involving a defect in the two innermost layers(the tunica intima and media)with continuity of the outermost layer,the adventitia.Alternatively,all three layers are damaged and bleeding outside of the vessel is contained by a clot or by surrounding tissue2013-10-09病理病理2
5、013-10-09影像诊断影像诊断2013-10-09提供信息提供信息2013-10-09动脉瘤泄露、破裂征象动脉瘤泄露、破裂征象2013-10-09Imaging of the acute abdomen,2003,11562013-10-09Imaging of the acute abdomen,2003,11572013-10-092013-10-092013-10-092013-10-09男，男，43岁。突发胸岁。突发胸背痛背痛7天。主动脉天。主动脉弓降部真性动脉瘤弓降部真性动脉瘤形成。形成。2013-10-092013-10-09男，男，34岁。活动后胸背部疼痛岁。活动后胸背部疼痛
6、7天。天。CT示示主动脉弓降部假性动脉瘤形成。主动脉弓降部假性动脉瘤形成。胸主动脉瘤胸主动脉瘤（男，（男，76岁，以纵隔占位就诊）岁，以纵隔占位就诊）2013-10-092013-10-092013-10-09胸主动脉瘤胸主动脉瘤（男，（男，69岁）岁）2013-10-092013-10-092013-10-09男，40岁，主动脉瓣置换病史2013-10-092013-10-09男，22岁2013-10-092013-10-092013-10-092013-10-09主动脉夹层主动脉夹层危险因素危险因素2013-10-09分型分型2013-10-09胸主动脉解剖2013-10-09Anatom
7、y of the thoracic aorta and significant landmarks.The ascending aorta extends from the aortic valve to the origin of the innominate artery.Its proximal portion,in relation to the aortic valve and sinuses of Valsalva,is termed the aortic root.The aortic arch begins at the innominate artery and ends a
8、t the ligamentum arteriosum.Its most distal part,which is often slightly narrowed,is termed the aortic isthmus.The descending aorta begins at the ligamentum.Its proximal portion may appear slightly dilated and has been termed the aortic spindle.2013-10-09男，男，30岁，突发剧烈胸痛就诊岁，突发剧烈胸痛就诊主动脉边缘毛糙主动脉边缘毛糙DeBak
9、ey 型，伴左肾梗死2013-10-092013-10-09男，28岁，突发剧烈胸痛就诊2013-10-092013-10-09心电门控扫描，DeBakey 型，累及右侧冠状动脉起始部斜矢状图像2013-10-09VR图清晰显示假腔范围，并发峡部囊状动脉瘤2013-10-09女，49岁，降主动脉支架置入病史2013-10-092013-10-09Debakey 型Debakey 型，左肾动脉起源于假腔2013-10-09鉴别鉴别升主动脉搏动伪影，门控扫描可消除2013-10-09肺动脉栓塞肺动脉栓塞入院查D-二聚体439（正常20-250）2013-10-09同一病例，MIP图像RightLeft2013-10-092013-10-09女，59岁2013-10-09肺动脉内多发充盈缺损2013-10-09右心室、房内充盈缺损，粘液栓？2013-10-09LeftRight2013-10-092013-10-09
