摘要
目的探讨急性氯气中毒的临床及胸部X线表现,动态研究X线表现变化特点,以提高对氯气中毒患者肺部损伤程度的认识水平。资料与方法对28例因氯气中毒患者行动态X线观察,结合临床症状和X线胸片表现进行比较分析。结果28例患者,其中9例胸部正常;2例首诊胸片无异常,1～2天后可见异常。17例首诊可见异常X线表现:两下肺纹理增多3例,两肺内不规则斑点状模糊影6例,两肺散在点状和网格状阴影或肺内大片状浸润,大片状实变影8例;起病1～4天,病变迅速进展8例,其中表现为双肺野呈"毛玻璃"样并有片状浸润改变3例,弥漫性肺实变5例;治疗7天后,4例恢复正常,2例几乎完全吸收,10例不同程度吸收好转;1例病情反复,好转后又恶化。结论结合临床表现,X线动态观察可反映急性氯气中毒程度及变化特点,为临床诊断和治疗以及预后提供重要的影像学依据。
Objective To investigate the clinical and chest X-ray manifestations of lung injury caused by acute chlorine gas poisoning. Materials and Methods Dynamic X-ray findings were observed in 28 cases with chlorine poisoning,and the clinical symptoms and X-ray performances were comparatively analyzed. Results Among the 28 patients,2 cases showed normal on the first chest X-ray images and abnormal on the follow-up X-ray images one or two days later. 17 cases were abnormal on the first chest X-ray images,included ill-defined peribronchial opacities in both lower lobes in 3 cases,scattered heterogeneous opacity in 6 cases,scattered or diffuse areas of ground-glass opacity,sheets of infiltration and extensive consolidation in 8 cases. In the first 4 days,the disease progressed rapidly in 8 cases,of which 3 cases showed ＂ground-glass＂ with foliated infiltration in both lungs and 5 cases showed diffuse consolidation. After one week of treatment,the lesions were absorbed completely in 4 cases,almost completely in 2 cases and varying degrees in 10 lesions. The patient＇s condition improved at beginning and relapsed later in 1 case. Conclusion Combined with the clinical manifestations,X-ray dynamic observation could reflect the degree of acute chlorine poisoning and characteristics of changes,which can provide an important imaging evidence for clinical diagnosis,treatment,and prognosis..
出处
《临床放射学杂志》
CSCD
北大核心
2010年第5期607-610,共4页
Journal of Clinical Radiology
基金
军区医药卫生科研基金课题(项目批准号:08MA087)
关键词
氯气中毒
肺水肿
X线
Chlorine poisoning Pulmonary edema X-ray
