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CT在咯血诊断中的应用研究进展
Research progress on the application of CT in the diagnosis of hemoptysis

广西医学 页码:1275-1281

作者机构:杨婷婷,硕士,研究方向为胸部血管疾病、腹部肿瘤影像诊断及介入治疗。

基金信息:国家重点研发计划“诊疗装备与生物医用材料”重点专项项目(2023YFC2413500)

DOI:10.11675/j.issn.0253⁃4304.2026.09.04

  • 中文简介
  • 英文简介
  • 参考文献

咯血是一种常见的临床呼吸系统症状,严重的咯血可能危及患者生命。随着影像学技术的进步,CT在咯血诊断中得到广泛应用。常规CT、CT血管造影,以及锥形束CT、Angio⁃CT、CT灌注、能谱CT等新兴CT技术,在出血定位、病因分析及责任动脉识别中发挥了重要作用,为支气管动脉栓塞术的精准实施提供可靠信息。本文全面综述咯血的病因、相关血管解剖及病理生理基础,咯血的诊断方式及CT常规影像表现,以及CT技术在咯血诊断中的应用进展,旨在提高咯血的诊断效率和治疗效果,从而改善患者预后。

Hemoptysis is a common clinical respiratory symptom, and severe hemoptysis may be life⁃threatening. With advances in imaging technology, CT has been increasingly applied in the diagnosis of hemoptysis. Conventional CT, CT angiography, and emerging CT technologies such as cone⁃beam CT, Angio⁃CT, CT perfusion, and spectral CT play an important role in hemorrhage localization, etiology analysis, and responsible artery identification, providing reliable information for the accurate implementation of bronchial artery embolization. This review summarizes the etiology, related vessel anatomy, and pathophysiological basis of hemoptysis, the diagnostic methods and CT conventional imaging manifestations of hemoptysis, and the application progress on CT technology in the diagnosis of hemoptysis, aiming to improve diagnostic efficiency and therapeutic outcomes of hemoptysis, and eventually enhance patients' prognosis.

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