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百草枯中毒肺损伤的X线、CT的表现特征与预后相关性分析 被引量:2

Comparative study on Roentgenographic and CT manifestation of lung damage of paraquat poisoning and clinical prognosis
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摘要 目的探讨百草枯中毒肺部损伤的X线、CT表现。方法对28例百草枯中毒患者的X线肺部平片和CT资料进行回顾性分析。结果 28例百草枯中毒患者的肺部X线和CT表现中毒时间变化而有差别。≤7d,21例表现肺纹理增多,16例磨玻璃样改变,3例肺实变,肺纤维化、胸腔积液2例,纵膈积气、心脏增大各1例;7~14d,肺纹理增多、肺实变及纤维化各6例,肺磨玻璃样改变5例;≥14d,肺间质纤维化7例,支气管扩张5例,肺纹理增多3例。结论 X线肺部平片、CT对观察肺部损伤的发展、演变及估计预后、确定治疗方案均有重要意义。 Objective To describe X-ray and CT findings of lung damage of paraquat poisoning. Methods X-ray and CT data of chest in 28 patients with paraquat poisoning were retrospectively analyzed. Results X-ray and CT findings of lung were varied with different time. ≤7 d, there were manily increase of lung marking in 21 cases ground-grass attenuation in 16 cases and consolidation in 3 cases. 7-14 d, increase of lung marking, consolidation and pulmonary fibrosis each could be seen in 6 cases, and 5 cases with ground-grass attenuation. ≥14 d there were pulmonary fibrosis in 7 cases bronchicctasis in 5 cases, increase of lung marking 3 cases. Conclusion Chest plain X-ray film and CT are of important value in observing the evolution, evaluating the prognosis and guiding the treatment project for the patients with paraquat poisoning.
作者 朱大光
出处 《中国卫生产业》 2013年第27期33-34,共2页 China Health Industry
关键词 百草枯中毒肺 肺损伤 X线体层摄影术 X线计算机 Lung paraquat poisoning pulmonary damage Tomography X-ray computed
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