摘要
目的探讨急性氯气中毒患者胸部影像与临床表现的关系及其实际价值。方法回顾性分析2011年10月16日某化工厂氯气泄漏事故中21例中重度中毒患者的胸部影像(X线胸片及胸部CT)表现,按临床表现分:急性期、消散期、恢复期进行分期观察,并将影像表现与临床表现对比分析。结果急性期胸部影像表现为两肺纹理增多、模糊及弥漫性磨玻璃样密度影共17例,临床表现为支气管炎和支气管周围炎;两肺片絮状模糊影及实变影4例,临床表现为支气管肺炎、间质性或肺泡性肺水肿。消散期:胸部影像捕获到消散期改变5例,表现为片絮状及大片实变影较前有所吸收,临床表现较前好转。恢复期:15例复查患者,两肺纹理增多8例,出现纤维索条影4例,残留腺泡样磨玻璃密度影3例,所有患者临床均表现为基本痊愈。结论氯气中毒的分期胸部影像表现与临床表现密切相关,整体表现基本一致。各期胸部影像表现能准确反映肺损害的严重程度,为临床治疗方案的选择提供重要依据。
Objective To explore the relation between chest image features of acute chlorine poisoning and clinical manifestations. Methods A retrospective analysis of 21 patients with moderate to severe chlorine poisoning was performed by chest image features （X ray chest radiograph or chest CT） in the chlorine gas leakage accident. Acute phase, resolu tion, recovery stage was divided according to clinical manifestations. Comparative analysis was explored between clinical manifestations and chest image performance. Results In acute phase, 17 patients presented with bronchitis or peribronchi olitis, the increased texture of both lungs, grew hazy and coarse;4 cases with bronchial pneumonia, interstitial or alveolar pulmonary edema, and vague shadows or realvariable shadow. 5 patients were improved, vague shadows and realvariable shadows were absorbed. On resolution stage, 15 patients were essentially recovered after fallow up. 8 cases showed that the texture of both lungs was increased,4 cases with fiber strip shadow, 3 cases with residual alveolar opaque glass shadow. Conclusion The chest image features are closely related to their clinical manifestations of patients with acute chlorine poi soning, which could accurately reflect the severity of the lung damage, and provide important information for clinical treat ment.
出处
《临床放射学杂志》
CSCD
北大核心
2013年第11期1580-1583,共4页
Journal of Clinical Radiology
