百草枯中毒肺损伤CT表现及预后分析

The CT Manifestations and Prognosis of Paraquat Poisoning Lung Injury

目的探讨百草枯中毒肺损伤CT表现以及预后分析,为临床治疗提供诊疗基础。方法选取我院急诊科已确诊为百草枯中毒患者48例,分析其中毒肺损害的CT表现,对其影像进行评估。结果 CT结果显示患者肺纹理增多、肺膜玻璃样病变、肺部实质性病变、肺间质性病变、支气管扩张等症状。中毒7日内,48例百草枯患者死亡共9例,其余患者均有不同程度病变;中毒8～14日内,余下39例百草枯患者死亡共5例,其余患者病变症状较7日加剧;中毒15日后,余下34例百草枯患者死亡共4例,其余患者CT表现症状均有所缓解。结论百草枯中毒肺损伤CT表现与临床病情发展呈正相关,为治疗以及提供诊断基础,适宜临床应用推广。

Objective To investigate the CT manifestations and prognosis of paraquat poisoning lung injury. Methods 48 paraquat poisoning patients from our hospital were selected and the CT features of lung injury were analyzed. Results CT results showed that patients with lung increased, lung membrane lesions, pulmonary parenchymal lesions, pulmonary interstitial lung disease, bronchial dilatation and other symptoms. In 7 days after poisoning, 48 patients died in 9 patients, and the remaining patients had different degrees of disease. In 8-14 days, the remaining 39 cases of paraquat patients died of a total of 5 cases, the rest of the patients had more progressive symptoms than those of 7 days. 15 days after poisoning, the remaining 34 patients died in 4 patients, the rest of the patients with CT symptoms were relieved. Conclusion The CT manifestations of lung injury induced by paraquat poisoning were positively correlated with the development of clinical disease, which was suitable for clinical application.