CAJ | 학술논문

目的探讨海水淹溺肺损伤的影像表现.方法对本院近8年收治的12例海水淹溺患者的影像资料进行回顾性分析.结果首次拍片或CT检查于离水后2～12 h,X线表现两肺纹理增多,肺内小片影,两肺呈现广泛分布斑片影;CT表现:肺内大片"磨玻璃样"密度影,两肺弥漫性斑片状、絮状阴影,肺气肿.大部分病灶治疗1～3 d后复查有明显吸收好转,1例病变后来形成肺脓肿.结论 X线和CT检查可清晰显示肺部损伤轻莺及发展演变,为临床诊治提供重要信息.
목적 탐토해수엄닉폐손상적영상표현.방법 대본원근8년수치적12례해수엄닉환자적영상자료진행회고성분석.결과 수차박편혹CT검사우리수후2～12 h,X선표현량폐문리증다,폐내소편영,량폐정현엄범분포반편영;CT표현:폐내대편"마파리양"밀도영,량폐미만성반편상、서상음영,폐기종.대부분병조치료1～3 d후복사유명현흡수호전,1례병변후래형성폐농종.결론 X선화CT검사가청석현시폐부손상경앵급발전연변,위림상진치제공중요신식.
Objective To investigate imaging findings of lung injury after seawater drowning.Methods The imaging data in 12 cases with seawater drowning treated in our hospital in the past 8 years were analyzed retrospectively.Results After 2 to 12 hours of leaving the water,the initial chest X-ray examinations or CT scans were taken.The initial X-ray films displayed the lung markings increase,the small patch shadows or wide distribution patch shadows.CT showd large ground-glass density,diffuse patchy or flocculus shadows and different degress of emphysema in bilateral lung.Most of the foci were absorbed obviously in 1 to 3 days.In 1 case,the focus formed pulmonary abscess later.Conclusion X-ray and CT examinations can clearly show the severity and changes of lung damage in seawater submersion victims,and that can provide important informations for clinical diagnosis and treatment.