多种影像学监测在捂热综合征转归中的应用价值  

Value of multiple imaging monitoring in the prognosis of muggy syndrome

作　　者：孙多成 肖忠 王冰洁 马力忠 SUN Duocheng;XIAO Zhong;WANG Bingjie;MA Lizhong(Department of Medical Imaging,the Affiliated Zhongshan Bo'ai Hospital of Southern Medical University , Zhongshan 528403,China;Department of Emergency,the Affiliated Zhongshan Bo'ai Hospital of Southern Medical University , Zhongshan 528403,China;Department of Pediatrics Respiratory,the Affiliated Zhongshan Bo'ai Hospital of Southern Medical University , Zhongshan 528403,China;Department of PICU,the Affiliated Zhongshan Bo'ai Hospital of Southern Medical University , Zhongshan 528403,China)

机构地区：[1]南方医科大学附属中山博爱医院医学影像科,广东中山528403 [2]南方医科大学附属中山博爱医院急诊科,广东中山528403 [3]南方医科大学附属中山博爱医院儿科呼吸科,广东中山528403 [4]南方医科大学附属中山博爱医院PICU,广东中山528403

出　　处：《实用放射学杂志》2019年第8期1299-1302,共4页Journal of Practical Radiology

摘　　要：目的探讨多种影像学监测在捂热综合征转归中的应用价值。方法回顾性分析46例患儿(男24例,女22例)胸部X线摄影、颅脑彩超、CT、MRI影像资料与临床资料。结果呼吸急促患儿33例行胸部X线摄影,正常25例,异常8例,其中肺炎5例、肺出血1例、纵隔气肿与气胸1例、心脏增大及肺水肿1例;有神经系统症状患儿13例(反应差6例、抽搐4例、休克3例),分别做颅脑彩超、CT、MRI检查,正常5例,有不同程度脑损伤8例,其中5例表现重度缺血缺氧性脑病,1周后 MRI随访发现3例出现脑皮层坏死、脑萎缩、脑软化。46例患儿最终随访结果2例死亡,3例自动出院,3例好转,38例治愈。结论蒙被者较捂热者后果更严重,主要累及脑组织、呼吸、循环等器官组织,应用多种影像学检查方法监测捂热综合征各器官变化,更能全面评估病情,而对中枢神经系统脑损伤早期诊断与转归,MRI更准确、客观。Objective To explore the application value of multiple imaging monitoring in the prognosis of muggy syndrome.Methods Chest X-ray,cranial ultrasound,CT,MRI and clinical data of 46 children (24 males and 22 females) were analyzed retrospectively.Results On chest X-ray images of 33 cases with respiratory stimulation,25 cases were normal,and other 8 ones were abnormal including pneumonia in 5, pulmonary hemorrhage in 1, mediastinal emphysema and pneumothorax in 1 and cardiac enlargement and pulmonary edema in 1.13 cases with nervous system symptoms (poor reaction in 6, convulsions in 4 and shock in 3) underwent cranial ultrasound, CT and MRI, 8 of whom had different degrees of brain injury (severe hypoxic ischemic encephalopathy in 5).In one-week follow-up MRI,cortical necrosis,brain atrophy and cerebral softening occurred in 3 cases.The final follow-up results of 46 children showed that 2 cases died,3 cases discharged automatically, 3 cases improved and 38 cases recovered. Conclusion Mongolia is more serious than muggy syndrome. Mongolia is a multi-system damaging disease, which mainly involves brain tissue,respiration system,circulation,and kidneys.A variety of examination methods can be used to monitor the changes of organs of muggy syndrome.MRI is more accurate and objective for early diagnosis and prognosis of brain injury in the central nervous system.

关 键 词：婴儿 捂热综合征 计算机体层成像 磁共振成像 超声 

分 类 号：R725[医药卫生—儿科] R814.42[医药卫生—临床医学]