静脉注射海洛因所致胸部病变的影像学表现  

Imaging of chest disease due to intravenous heroin abuse

作　　者：练旭辉 陈忠 叶文钦 

机构地区：[1]广东省新会市人民医院影像中心,529100

出　　处：《中华放射学杂志》2002年第12期1115-1118,共4页Chinese Journal of Radiology

摘　　要：目的　探讨静脉注射海洛因所致胸部感染性病变的影像学表现。方法　回顾性分析2 5例静脉注射海洛因继发胸部感染性病变患者的临床与影像学资料。尿海洛因试验均阳性 ;均摄有高kV胸片 ,6例做了胸部CT扫描 ,6例做了超声心动图检查。结果　胸部X线平片及CT上表现为肺纹理增多 5例、小片状模糊影 15例、肺气囊 16例、小空洞 16例、小结节 7例、胸腔积液 8例、气胸 2例、液气胸 6例、肺水肿 2例 ;心影增大 11例 ;多种形态病灶并存 2 0例。 6例超声心动图检查者 ,见三尖瓣赘生物 4例 ,三尖瓣关闭不全 4例。结论　静脉注射海洛因的胸部感染性病灶影像表现多种多样 ,其中“多发小空洞和肺气囊征”对青壮年静脉注射海洛因所致肺部感染的诊断有一定的价值。Objective To study the imaging findings of the chest disease due to intravenous heroin abuse. Methods Twenty five cases of clinically confirmed chest disease due to intravenous heroin abuse were retrospectively analyzed. 25 cases had conventional X ray film, 6 cases had CT scanning, and 6 cases had echocardiography scanning. Results On X ray and CT, the following signs were found: lung making manifold ( n =5), small patchy shadow ( n =15), pneumatocele ( n =16), small cavity ( n =16), small node ( n =7), pleural effusion ( n =8), pneumothorax ( n =2), hydropneumothorax ( n =6), pulmonary edema ( n =2), megacardia ( n =11), multiple shaped lesion ( n =20). On echocardiography, tricuspid vegetation ( n =4) and tricuspid insufficiency ( n =4) were found. Conclusion The X ray and CT manifestations of chest inflammation due to intravenous heroin abuse are multiple. The multiple small cavities and pneumatoceles sign are of some value in the diagnosis of lung inflammation due to intravenous heroin abuse among young patients.

关 键 词：海洛因依赖 胸部疾病 肺炎 X线摄影术 诊断 

分 类 号：R816.4[医药卫生—放射医学]