26例厨师肺部CT检查结果分析  

Lung CT findings in patients working as cooks

作　　者：漆剑频[1] 陈唯唯[1] 黄文华[1] 李育琴[2] 

机构地区：[1]华中科技大学同济医学院附属同济医院放射科,武汉430030 [2]湖北省黄冈市黄州区人民医院放射科,438000

出　　处：《中华全科医师杂志》2017年第8期620-623,共4页Chinese Journal of General Practitioners

摘　　要：收集2011年4月至2016年6月期间就诊的26例从事小餐馆厨师工作患者的肺部CT扫描图像,分析其肺部病理改变与影像特点.主要临床表现为胸闷、气短、胸痛、咳嗽、咳血.26例均进行了肺部CT扫描,其中6例进行了增强CT扫描.CT扫描发现肺肿瘤1例、肺内结节16例（其中2例追踪复查发现癌变）、肺大泡6例、肺气肿4例、纤维增殖病灶8例、间质性肺炎4例、霉菌球1例,转移性肿瘤1例.12例并发2种及以上的肺内病变.提示长期接触烹调油烟可能导致肺部一系列病理性改变,应予以高度重视及防治.The clinical manifestations and CT findings of 26 patients,who were full-time cooks working in small restaurants,were analyzed retrospectively.The main clinical manifestations were chest congestion,shortness of breath,chest pain,cough and hemoptysis.Lung CT scanning revealed lung carcinoma in 1 case,pulmonary nodules in 16 cases including 2 cancerous nodules confirmed in the followup review,puhnonary bulla in 6 cases,emphysema in 4 cases,fibro-proliferative lesions in 8 cases,interstitial pneumonia in 4 cases and fungal ball in 1 case.Among 26 patients,12 had two or more concurrent intrapulmonary lesions.The results suggest that long-term exposure to cooking oil fume may lead to a series of pulmonary pathological changes,and attention should be paid to the occupational hazards of cooks.

关 键 词：烹饪油烟 肉芽肿 肺 体层摄影术 X线计算机 

分 类 号：R135[医药卫生—劳动卫生] R816.41[医药卫生—公共卫生与预防医学]