急性氯气中毒患者胸部影像学表现分析  

Analysis of chest image performance in patients with acute chlorine poisoning

作　　者：刘良卿[1] 郑建刚[1] 杨克宇[1] 武洪林[1] 唐庆放[1] 吴惠明[1] 

机构地区：[1]江苏大学附属武进医院放射科,常州213002

出　　处：《国际放射医学核医学杂志》2012年第2期124-127,共4页International Journal of Radiation Medicine and Nuclear Medicine

摘　　要：目的探讨急性氯气中毒患者胸部影像学表现及其诊断价值。方法回顾性分析117例氯气中毒患者的胸部影像学表现，依据国家职业性急性氯气中毒诊断标准进行分类统计。结果胸部影像学表现正常，临床表现为刺激反应者65例；胸部影像学表现为无异常或两肺肺纹理增多、增粗、模糊，临床表现为轻度中毒者31例；胸部影像学表现为局限性小斑片样模糊阴影，肺野有毛玻璃样改变、两肺散在点状和网状阴影，常可见水平裂增厚、单个或多个局限性片状阴影，临床表现为中度中毒者17例；胸部影像学表现为两肺广泛且密度均匀的实变阴影，临床表现为重度中毒者4例。结论在有明确的氯气吸入史及出现相关临床表现的基础上，结合胸部影像学表现，能更准确地诊断氯气中毒以及判定病情的严重程度，为临床治疗原则的选择提供重要依据。Objective To explore chest image features of patients with acute chlorine poisoning and their clinical values. Methods A retrospective analysis was performed by chest image features of 117 patients with acute chlorine poisoning. All the patients were classified according to Chinese management of occupa- tional acute chlorine poisoning diagnosis standard. Results Sixty-five patients presented with stimulus response, and normal or both lungs had a little more white on their chest images. Thirty-one cases presented with minor poisoning, and without or the texture of both lungs was increased, and grew hazy and coarse, seven- teen cases were moderate, and small sample vague shadows or single or multiple limitations lamellar shadow. Four cases were serious, and two lungs had extensive and density homogeneous consolidation shadow. Conclu- sions It would make the diagnosis and assessment of chlorine poisoning more easier based on the combination of chest image features, the clear history of acute chlorine poisoning and relevant clinical performance.

关 键 词：氯 气体中毒 放射摄影术 胸部 体层摄影术 螺旋计算机 

分 类 号：R595.1[医药卫生—内科学]