46例百草枯中毒致肺损害的CT诊断分析  

CT diagnosis in patients with lung injury induced by paraquat(analysis of 46 cases)

作　　者：张保付[1] 南静[1] 呼国庆[1] 赵树媛[1] 

机构地区：[1]河北省邯郸市第一医院放射科,河北邯郸056002

出　　处：《医学影像学杂志》2013年第2期207-209,共3页Journal of Medical Imaging

摘　　要：目的探讨CT在百草枯中毒致肺间质纤维化中的诊断价值。方法回顾性分析百草枯中毒致肺损害患者的临床和影像学资料。结果 46例致肺损害的百草枯中毒患者死亡7例,肺间质纤维化23例,肺水肿10例,胸腔积液8例,胸膜肥厚8例,磨玻璃影20例,肺渗出性改变5例。百草枯肺损害随着摄入量的增加和病情进展出现肺间质纤维化比例明显增加,而呈现典型的肺间质纤维化的表现。结论 CT对百草枯中毒患者致肺纤维化的发现和进展具有明显的诊断价值,对于临床救治有重要的指导意义。Objective To investigate the CT diagnostic value in paraquat-induced pulmonary fibrosis. Methods Clinical and imaging data of patients with lung damage caused by paraquat poisoning were retrospectively analyzed in this work. Results Of these 46 patients with the lung injury induced by paraquat poisoning, 7 patients died, 23 presented with pul- monary interstitial fibrosis, 10 with pulmonary edema, 8 with pleural effusion, 8 with pleural thickening, 20 with ground glass opacity, and 5 with pulmonary exudative changes. With the increased intake and progression of pulmonary interstitial fibrosis, paraquat lung injury increased obviously and the typical manifestation of pulmonary interstitial fibrosis appeared. Conclusion CT possesses obvious diagnostic value for the discovery and progression in patients with paraquat-induced pul- monary fibrosis, which is important for the guidance of treatment of this disorder.

关 键 词：百草枯中毒 肺损害 肺间质纤维化 体层摄影术 X线计算机 

分 类 号：R563[医药卫生—呼吸系统] R814.42[医药卫生—内科学]