[1]刘良卿,郑建刚,杨克宇,等.急性氯气中毒患者胸部影像学表现分析[J].国际放射医学核医学杂志,2012,36(2):124-127.[doi:10.3760/cma.j.issn.1673-4114.2012.02.017]
　LIU Liang-qing,ZHENG Jian-gang,YANG Ke-yu,et al.Analysis of chest image performance in patients with acute chlorine poisoning[J].International Journal of Radiation Medicine and Nuclear Medicine,2012,36(2):124-127.[doi:10.3760/cma.j.issn.1673-4114.2012.02.017]
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急性氯气中毒患者胸部影像学表现分析(/HTML)
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
36
期数:
2012年第2期
页码:
124-127
栏目:
临床放射医学
出版日期:
2012-03-25

文章信息/Info

Title:
Analysis of chest image performance in patients with acute chlorine poisoning
作者:
刘良卿;  郑建刚;  杨克宇;  武洪林;  唐庆放;  吴惠明
江苏大学附属武进医院放射科, 常州 213002
Author(s):
LIU Liang-qing;  ZHENG Jian-gang;  YANG Ke-yu;  WU Hong-lin;  TANG Qing-fang;  WU Hui-ming
Department of Radiology, the Affiliated Wu Jin Hospital of Jiang Su University, Changzhou 213002, China
关键词:
氯; 气体中毒; 放射摄影术; 胸部; 体层摄影术; 螺旋计算机
Keywords:
Chlorine; Gas poisoning; Radiography; thoracic; Tomography; spiral computed
DOI:
10.3760/cma.j.issn.1673-4114.2012.02.017
摘要:
目的 探讨急性氯气中毒患者胸部影像学表现及其诊断价值.方法 回顾性分析117例氯气中毒患者的胸部影像学表现,依据国家职业性急性氯气中毒诊断标准进行分类统计.结果 胸部影像学表现正常,临床表现为刺激反应者65例;胸部影像学表现为无异常或两肺肺纹理增多、增粗、模糊,临床表现为轻度中毒者31例;胸部影像学表现为局限性小斑片样模糊阴影,肺野有毛玻璃样改变、两肺散在点状和网状阴影,常可见水平裂增厚、单个或多个局限性片状阴影,临床表现为中度中毒者17例;胸部影像学表现为两肺广泛且密度均匀的实变阴影,临床表现为重度中毒者4例.结论 在有明确的氯气吸入史及出现相关临床表现的基础上,结合胸部影像学表现,能更准确地诊断氯气中毒以及判定病情的严重程度,为临床治疗原则的选择提供重要依据。
Abstract:
Objective To explore chest image features of patients with acute chlorine poisoning and their clinical values.Methods A retrospcctivc analysis was performed by chest image features of 117 patients with acute chlorine poisoning.All the patients were classified according to Chinese management of occupational acute chlorine poisoning diagnosis standard.Results Sixty-five patients presented with stimulus response,and normal or both lungs had a little more white on their chest images.Thirty-one cases presented with minor poisoning,and without or the texture of both lungs was incrcased,and grew hazy and coarse.seventeen cases were moderate,and small sample vague shadows or single or multiple limitations lamellar shadow.Four cases were serious,and two lungs had extensive and density homogeneous consolidation shadow.Conclusions It would make the diagnosis and assessment of chlorine poisoning more easier based on the combination of chest image features,the clear history of acute chlorine poisoning and relevant clinical performance.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2012-01-12。
通讯作者:郑建刚,Email:zhengky2008@163.com
更新日期/Last Update: 1900-01-01