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一氧化碳中毒25例临床影像学分析

Analyzed of Clinic Imaging on Carboxyhenmoglobin (Report 25 Cases)
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摘要 目的:探讨一氧化碳中毒的CT诊断。材料与方法:回顾分析25例一氧化碳中毒CT平扫,14例于治疗后进行复查。结果:所有病例均符合诊断标准。7例为轻度一氧化碳中毒,临床症状有头疼、恶心、呕吐、胸闷。CT显示神经—基底节区密度正常,但脑沟、脑回、三脑室形态变窄。18例重度中毒者多有神志淡漠、昏迷等。CT显示神经—基底节区苍白球对称性低密度影,边缘模糊、范围3mm~17mm。平均8mm。CT值18~25Hu。死亡5例。复查14例,6例CT显示正常。8例遗留程度不等的中毒性脑病。结论:CT在一氧化碳中毒的诊断中很有价值。 Purpose: To study CT diagnosis of carboxyhemoglobin. Materials and Methods: 25 cases of earboxyhemoglobin were under gone CT, among them, 14 cases were examined by CT after treatement. Results: There were diagnostic standard accordance in all. There were mild type carboxyhemoglobin in 7 cases; There were headache, vomiturition, emesis, chest distress; CT were displaied normally in nerve - basal nuclei, but were becomed narrow in gyri, sulci and 3th ventricles of brain. There were severe in 18; They had vague mind, coma, CT were displaied symmetrical low density and in the paUidum of nerve - basal nuclei, and limbic inapparent, there were 3mm ~ 17mm, average 8mm. CT titre was 18~ 25Hu, Death was for 5. Check for 14, 6 were displaied normally on CT, 8 had toxic encephaiopathy. Conclusion: CT examination have value in diagnosis of carboxyhemoglobin.
出处 《现代医用影像学》 2007年第4期164-165,共2页 Modern Medical Imageology
关键词 一氧化碳中毒 体层摄影术 X线计算机 Carboxyhemoglobin Tomography X- ray computed
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