Author/Editor | Matela, Jože; Zalar, Jurij; Pavlovič, Milan | |
Title | Diagnostika pljučne embolije s spiralno računalniško tomografijo | |
Translated title | Diagnosis of pulmonary embolism with spiral computerized tomography | |
Type | članek | |
Source | Med Razgl | |
Vol. and No. | Letnik 39, št. Suppl 2 | |
Publication year | 2000 | |
Volume | str. 87-93 | |
Language | slo | |
Abstract | Mortality due to pulmonary embolisms is a large problem, so it is very important to recognise this condition exactly and in time to enable proper treatment. Spiral CT is a successful method which shows the thrombus in the blood vessels without failure, and the contrast agent is injected into a peripheral vein. For correct use and interpretation of the results, experience is required in selecting the technical parameters and in recognising the possible artifacts which can interfere with the interpretation. The objective of this paper is to present the execution of the examination, possible mistakes which may lead to an incorrection of the picture, and a protocol for diagnosing pulmonary embolisms which has been used in the Maribor General Hospital since 1998. | |
Summary | Zaradi velike umrljivosti bolnikov s pljučno embolijo je pomembno pravočasno in natančno prepoznavanje obolenja, kar omogoča ustrezno zdravljenje. Spiralna CT se je pokazala pri tem kot uspešna metoda, ker prikaže strdke v žilah z veliko zanesljivostjo, kontrastno sredstvo pa je vbrizgano v periferno veno. Za pravilno uporabo in interpretacijo dobljenih rezultatov so potrebne določene izkušnje, tako pri izbiri tehničnih parametrov nastavitve preiskave kot pri prepoznavanju možnih efektov, ki lahko motijo interpretacijo. V prispevku prikazujemo izvedbo preiskave, možne napake, ki vodijo v napačno interpretacijo dobljene slike, ter na koncu delovni protokol, ki ga za diagnostiko pljučne embolije uporabljamo v Splošni bolnišnici Maribor od leta 1998 dalje. | |
Descriptors | PULMONARY EMBOLISM TOMOGRAPHY, X-RAY COMPUTED SENSITIVITY AND SPECIFICITY MEDICAL ERRORS CONTRAST SENSITIVITY CLINICAL COMPETENCE |