CAJ | 학술논문

目的探讨螺旋CT对百草枯中毒肺损伤的影像学特征及临床意义.方法回顾分析18例百草枯中毒患者的胸部CT表现.结果 18例患者中有5例存活3周以上,中毒早期8例胸部无明显异常,磨玻璃样改变10例;中毒中期10例见两肺弥漫磨玻璃样密度影,出现渗出病变5例,实变3例,胸腔积液2例.中毒晚期8例表现不同程度肺间质纤维化和肺蜂窝样改变,3例伴牵引性支气管扩张,胸腔积液1例,2例无明显异常.结论 CT诊断对病情发展、演变及估计预后、指导临床治疗具有重要意义.
목적 탐토라선CT대백초고중독폐손상적영상학특정급림상의의.방법 회고분석18례백초고중독환자적흉부CT표현.결과 18례환자중유5례존활3주이상,중독조기8례흉부무명현이상,마파리양개변10례;중독중기10례견량폐미만마파리양밀도영,출현삼출병변5례,실변3례,흉강적액2례.중독만기8례표현불동정도폐간질섬유화화폐봉와양개변,3례반견인성지기관확장,흉강적액1례,2례무명현이상.결론 CT진단대병정발전、연변급고계예후、지도림상치료구유중요의의.
Objective To investigate the CT feature and clinic significance of Paraquat-induced Pulmonary Damage. Methods CT data of chest in 18 patients with paraquate poisoning were retrospectively analyzed.Results 5 patients of 18 survived over 3 week. In the early period,in 10 of them, the predominate findings were glass density;while the other 8 cases shomed normal. In the middle period, extensive glass density were found in 10 cases, exudation in 5 cases, consolidation in 3 cases with hydrothorax 2 cases. In the late period, pulmonary firbrosis and microcyst formation in different degree were shown in 8 cases,3 cases combined with bronchiectasis,hydrothorax in 1 case;while the other 2 cases shomed normal. Conclusion Chest CT has great advantage in progression of paraquate-induced pulmonary damage and has important significance in conduction of clinic therapy, evaluation of prognosis.