3.0T MRI观察急性CO中毒患者的耳部及鼻窦损伤

3.0T MRI observe the ears and sinus damage degree of patients with acute carbon onoxide poisoning

目的:通过3.0T MRI研究急性CO中毒患者的耳部及鼻窦损伤情况。方法:2012-2015年收集45例急性CO中毒患者的MRI图像,观察中耳、乳突及鼻窦的影像学变化。结果:中耳乳突损伤41例(91.1%),上颌窦损伤22例(48.9%),筛窦损伤20例(44.4%),蝶窦损伤9例(20.0%),额窦损伤5例(11.1%)。将CO中毒患者按临床症状分为轻、中、重3组,观察耳部、鼻窦损伤程度并进行组间比较,发现差异有统计学意义(P<0.05)。结论:急性CO中毒患者的耳部及鼻窦损伤应该引起医护人员的重视,MRI能够从细节上反映出患者耳部及鼻窦的损伤程度。

Objective：Through 3.0T MRI study the ear and sinus lesions of patients with acute carbon monoxide poisoning.Method：From 2012 to 2015collected the MRI images of the 45 patients with acute carbon monoxide poisoning,observe their changes of middle ear and mastoid and sinus imaging.Result：The middle ear injury of mastoid 41cases（91.1%）,22cases（48.9%）of maxillary sinus injury,ethmoid sinus injury in 20cases（44.4%）,sphenoid sinus 9cases（20.0%）,5cases（11.1%）of frontal sinus injury.Carbon monoxide poisoning patients according to clinical symptoms can be divided into light,medium and heavy 3groups,observing the ear sinus damage degree for comparison between groups,found to have significant differences（P0.05）.Conclusion：The patients with acute carbon monoxide poisoning ear and sinus injury should cause the attention of the medical staff,MRI can reflect people′s ears from the details and the damage degree of the sinuses.