职业性急性三氯乙烯中毒致多脏器损害超声影像学分析

Analysis of Ultrasound Diagnosis in Multiple Organ Damage patients with the Acute Occupational Trichlorethylene Poisoning

目的探讨职业性急性三氯乙烯中毒患者的肝胆脾肾超声影像学特征及其临床意义。方法通过对7例职业性急性三氯乙烯中毒患者入院时、治疗中和出院前分别进行肝胆脾肾超声影像学观察,同时测定其肝肾功能指标与之对照。结果职业性急性三氯乙烯中毒患者入院时肝胆脾肾声像图均有不同程度改变,且其改变程度与肝肾功能异常水平基本一致;随着病情的恢复,患者临床治愈,出院时肝肾功能恢复正常,其声像图也随之恢复正常。结论职业性急性三氯乙烯中毒患者大多伴发严重肝肾损害,其肝胆脾肾声像图改变具有一定特征性,可以作为判断患者肝肾损害程度和疗效观察的指标之一,有一定的临床实用价值。

[ Objective ] To investigate the ultrasound imaging features of liver, gallbladder, spleen and kidney as well as their clinical significance in patients with acute occupational triehlorethylene poisoning. [ Methods] Observation of ultrasound imaging of liver, gallbladder, spleen and kidney was performed on 7 cases of acute occupational trichlorethylene poisoning in the periods of entering the hospital, receiving treatment and leaving the hospital. Liver and kidney functions were simultaneously determined as contrast. [ Results] Varying degrees of changes, which occurred in liver, gallbladder, spleen and kidney of patients with acute occupational trichlorethylene poisoning by ultrasonography, was basically the same as the level of hepatic and renal dysfunction. As the recovery of patients, hepatic and renal function was back to normal as well as the ultrasound images. [ Conclusion] Majorities of acute occupational Trichlorethylene poisoning patients have serious hepatorenal damage. The change of ultrasound image, which can be taken as one of the indicators for hepatorenal damage judgement and efficacy observation, has a certain clinical value.