CT诊断急性甲醇中毒个案报道并文献复习  

CT diagnosis of acute methanol poisoning and literature review

作　　者：邱涛[1] 戴晓艳[2] 陈勇[3] 陈萍[3] 刘佳 陈栎 徐晓娅[1] 肖华[1] QIU Tao;DAI Xiaoyan;CHEN Yong;CHEN Ping;LIU Jia;CHEN Yue;XU Xiaoya;XIAO Hua(Department of Neurology,Zigong First People’s Hospital,Sichuang Province,Zigong643000,China;Department of Nursing,Zigong First People’s Hospital,Sichuang Province,Zigong643000,China;Department of Neurology,Xichang People’s Hospital,Sichuang Province,Xichang615000,China)

机构地区：[1]四川省自贡市第一人民医院神经内科,四川自贡643000 [2]四川省自贡市第一人民医院护理部,四川自贡643000 [3]四川省西昌市人民医院神经内科,四川西昌615000

出　　处：《中国医药导报》2020年第33期24-28,共5页China Medical Herald

基　　金：四川省卫生健康委员会科研课题(19PJ310)。

摘　　要：报道1例急性甲醇中毒病例。患者为青年男性,表现为快速出现的意识障碍及不明原因的阴离子间隙增高的代谢性酸中毒。颅脑CT示双侧壳核坏死伴右侧出血。根据CT诊断为急性甲醇中毒,患者最终因救治无效死亡。本文对文献进行了回顾,讨论甲醇代谢过程,甲醇中毒的方式,潜伏期,毒量、主要症状,影像学表现与治疗预后等,以提高对此病的认识。A case of acute methanol poisoning was reported.The patient was a young man,who presented with rapid consciousness disorder and metabolic acidosis with increased anion gap of unknown cause.Brain CT showed that bilateral putamen necrosis with right hemorrhage.According to CT diagnosis of acute methanol poisoning,the patient died of ineffective treatment.The paper reviewed the literature,discussed the process of methanol metabolism,the way of methanol poisoning,the incubation period,the amount of methanol,the main symptoms,the imaging manifestations and the treatment prognosis,so as to improve the understanding of the disease.

关 键 词：甲醇中毒 代谢性酸中毒 双侧壳核坏死 

分 类 号：R595.6[医药卫生—内科学]