百草枯中毒肺损伤的CT表现与临床意义

何再防; 李红兵; 程寿林; 李其祥; 黄镇; 曾建国

doi:10.3760/cma.j.issn.1673-4114.2012.01.014

百草枯中毒肺损伤的CT表现与临床意义

何再防 , 李红兵 , 程寿林 , 李其祥 , 黄镇 , 曾建国

文章导航 > 国际放射医学核医学杂志 > 2012, 36 > 1: (56-59)

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百草枯中毒肺损伤的CT表现与临床意义

1. 436200, 湖北省浠水团陂中心医院放射科;
2. 518103, 深圳市福永人民医院放射科

通讯作者: 李红兵, email:lihongbing.2@163.com ;

Finding of CT and clinical in paraquat poisoning pulmonary injury

Department of Radiology, Tuanpi Central Hospital, Xishui 436200, China

Corresponding author: LI Hong-bing, email:lihongbing.2@163.com ;

摘要: 目的探讨百草枯中毒患者肺损伤的CT表现及临床价值。方法回顾性分析6例百草枯中毒患者肺损伤的CT影像学资料,根据中毒时问分早期(1~2 d)、中期(3~14d)、晚期(>14d)3个阶段。对中毒患者进行CT表现与临床表现的对比。结果 6例百草枯中毒患者中3例死亡,2例肺纤维化,1例痊愈。早期CT表现:3例无异常,2例磨玻璃样变,1例肺纹理增多、模糊;中期CT表现:6例磨玻璃样变、马赛克征,6例肺实变,4例胸膜下线,4例出现伴行支气管扩张,2例少量胸腔积液;晚期CT表现:4例肺实变及纤维化,3例磨玻璃样变、马赛克征,1例胸腔积液,1例纵隔气肿。结论百草枯中毒的临床表现与CT表现基本相符,具有相对分期特征,有助于临床对病情的及时评估,从而指导临床治疗。
- 百草枯 /
- 中毒 /
- 呼吸窘迫综合征,成人 /
- 体层摄影术,X线计算机
Abstract: Objective To investigate the CT features of pulmonary injury in paraquat poisoning.Methods The chest CT image of lung injury in 6 cases of paraquat poisoning were analyzed retrospectively.According to different period of poisoning,the 6 cases were divided into 3 types:the early stage of poisoning (within 2 d),the middle stage of poisoning (3-14 d),the late stage of poisoning (>14 d).A comparison between CT signs and the pathological features of patients was made.Rusults Among this 6 cases,3 cases died,2cases pulmonary fibrosis was noted,1 cases recovered.According to different period of poisoning,the 6 cases were divided into 3 stages:in the early stage of poisoning (within 2 d),3 cases of all patients showed nothing remarkable,2 cases showed ground-glass opacity,1 case showed fuzzy lung-marking.In the middle stage of poisoning (3-14 d),all 6 cases showed ground-glass opacity,mosaic attenuation; 6 cases showed pulmonary consolidation; 4 cases showed subpleural lines; 4 cases showed bronchieetasis; 2 cases showed mid-lower pleural effusion.In the late stage of poisoning (>14 d),4 cases showed pulmonary consolidation and pulmonary fibrosis,3 cases showed ground-glass opacity and mosaic attenuation,1 case showed mid-lower pleural effusion; 1 case showed mediastinal emphysema.Conclusion The clinical pathology process of paraquat poisoning was in line with CT finding which was related with clinical stage and was helpful for clinical assessment of paraquat poisoning promptly and to guide the clinical treatment.
- Paraquat /
- Poisoning /
- Respiratory distress syndrome, adult /
- Tomography, X-ray computed
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[1]	何再防 , 李红兵 , 程寿林 , 李其祥 , 黄镇 , 曾建国 . 百草枯中毒肺损伤的CT表现与临床意义. 国际放射医学核医学杂志, 2012, 36(1): 56-59. doi: 10.3760/cma.j.issn.1673鄄4114.2012.01.014
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[4]	袁玉兰 , 李学伟 , 孙世则 . 胸部局部照射后成人呼吸窘迫综合征. 国际放射医学核医学杂志, 1987, 11(3): 157-158.
[5]	李崇国 , 吴大可 , 郎锦义 . 基于非均匀有理B样条的四维心脏-躯干体模及其在医学影像研究中的应用. 国际放射医学核医学杂志, 2008, 32(6): 367-371.
[6]	李伟 , 龙晚生 , 张朝桐 , 胡茂清 , 梁启堂 , 赖婵 . Radimetrics系统在CT辐射剂量评估上的初步应用. 国际放射医学核医学杂志, 2017, 41(6): 401-406. doi: 10.3760/cma.j.issn.1673-4114.2017.06.005
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百草枯中毒肺损伤的CT表现与临床意义

通讯作者: 李红兵, email:lihongbing.2@163.com;

1. 436200, 湖北省浠水团陂中心医院放射科;
2. 518103, 深圳市福永人民医院放射科

收稿日期: 2011-10-29

关键词:

摘要: 目的探讨百草枯中毒患者肺损伤的CT表现及临床价值。方法回顾性分析6例百草枯中毒患者肺损伤的CT影像学资料,根据中毒时问分早期(1~2 d)、中期(3~14d)、晚期(>14d)3个阶段。对中毒患者进行CT表现与临床表现的对比。结果 6例百草枯中毒患者中3例死亡,2例肺纤维化,1例痊愈。早期CT表现:3例无异常,2例磨玻璃样变,1例肺纹理增多、模糊;中期CT表现:6例磨玻璃样变、马赛克征,6例肺实变,4例胸膜下线,4例出现伴行支气管扩张,2例少量胸腔积液;晚期CT表现:4例肺实变及纤维化,3例磨玻璃样变、马赛克征,1例胸腔积液,1例纵隔气肿。结论百草枯中毒的临床表现与CT表现基本相符,具有相对分期特征,有助于临床对病情的及时评估,从而指导临床治疗。

English Abstract

Finding of CT and clinical in paraquat poisoning pulmonary injury

Corresponding author: LI Hong-bing, email:lihongbing.2@163.com

Department of Radiology, Tuanpi Central Hospital, Xishui 436200, China

Received Date: 2011-10-29

Abstract: Objective To investigate the CT features of pulmonary injury in paraquat poisoning.Methods The chest CT image of lung injury in 6 cases of paraquat poisoning were analyzed retrospectively.According to different period of poisoning,the 6 cases were divided into 3 types:the early stage of poisoning (within 2 d),the middle stage of poisoning (3-14 d),the late stage of poisoning (>14 d).A comparison between CT signs and the pathological features of patients was made.Rusults Among this 6 cases,3 cases died,2cases pulmonary fibrosis was noted,1 cases recovered.According to different period of poisoning,the 6 cases were divided into 3 stages:in the early stage of poisoning (within 2 d),3 cases of all patients showed nothing remarkable,2 cases showed ground-glass opacity,1 case showed fuzzy lung-marking.In the middle stage of poisoning (3-14 d),all 6 cases showed ground-glass opacity,mosaic attenuation; 6 cases showed pulmonary consolidation; 4 cases showed subpleural lines; 4 cases showed bronchieetasis; 2 cases showed mid-lower pleural effusion.In the late stage of poisoning (>14 d),4 cases showed pulmonary consolidation and pulmonary fibrosis,3 cases showed ground-glass opacity and mosaic attenuation,1 case showed mid-lower pleural effusion; 1 case showed mediastinal emphysema.Conclusion The clinical pathology process of paraquat poisoning was in line with CT finding which was related with clinical stage and was helpful for clinical assessment of paraquat poisoning promptly and to guide the clinical treatment.