静脉应用毒品致胸部病变的影像学表现  

Imaging Manifastations of Chest Disease Caused by Intravenous Drug

作　　者：贾红明[1] 崔冰[1] 左六二[2] 

机构地区：[1]佛山市顺德第一人民医院放射科,广东528300 [2]佛山市顺德第一人民医院呼吸内科,广东528300

出　　处：《放射学实践》2009年第10期1099-1101,共3页Radiologic Practice

摘　　要：目的:探讨经静脉应用毒品致胸部病变的影像学表现,提高其认识和诊断水平。方法:回顾性分析2000年～2008年间28例临床收治证实的经静脉应用毒品致胸部病变的临床资料及影像学表现。结果:两肺纹理增粗、多模糊5例,浸润性斑片状、片状模糊阴影X线胸片12例、CT14例,结节影X线胸片16例、CT17例,空洞影X线胸片10例、CT13例,肺气囊X线胸片17例、CT19例,心脏增大6例,胸腔积液X线胸片6例、CT12例,液气胸3例,6例CTPA显示肺动脉充盈缺损2例(2/6)。多种形态病灶并存。本组除5例仅1种改变外,余23例均出现两种以上病变,病灶分布肺外周或胸膜下,主要在中下肺野。结论:影像学检查是静脉应用毒品致胸部病变重要的检查方法,多发周边或胸膜下的气囊、结节伴或不伴空洞是较为特征性的表现。Objective： To study imaging findings of chest disease caused by intravenous drug. Methods： The clinical materials and imaging findings of 28 cases of chest disease induced by intravenous drug were analyzed retrospectively during 2000 to 2008. Results：Exaggeration of lung marking was shown in 5 cases,patchy shadow on X-ray 12 cases＇and on CT 14 cases,nodular shadow on X-ray 16 cases and on CT 17 cases,cavity on X-ray 10 cases and on CT 13 cases,formation of bulla or pneumatocele on X-ray 17 cases and on CT 19 cases enlargement of heart 6 cases,pleural effusion on X-ray 6 cases and on CT 12 cases, pneumothorax in 3 cases. 6 cases received computed tomography pulmonary angiography （CTPA）, pulmo- nary arteries filling defect was detected in 2 cases （2/6）. In 23 cases there were concurrent lesions of more than two types, peripheral or sub-pleural zones were commonly affected,mainly involving the middle and the lower parts of the lung. Conclusion：Imaging examination is an important method for diagnosing pulmonary damage caused by intravenous drug. The bullae and nodular shadows with or without cavity in peripheral or sub-pleural pulmonary zones are characteristic findings.

关 键 词：输注 静脉内 胸部疾病 肺疾病 体层摄影术 X线计算机 

分 类 号：R445[医药卫生—影像医学与核医学]