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急性氨中毒的肺部X线、CT分析(附11例报道)
引用本文:李雄,曾伟华,贺建林,刘酃.急性氨中毒的肺部X线、CT分析(附11例报道)[J].实用预防医学,2010,17(6):1178-1180.
作者姓名:李雄  曾伟华  贺建林  刘酃
作者单位:湖南省湘潭市中心医院放射科,湖南,湘潭,411000
摘    要:目的分析急性氨中毒致肺部损伤的X线及CT表现。方法对11例急性氨中毒致肺部损伤病例的胸部X线及CT表现进行分析,并进行约8月随访观察。结果 11例早期损伤表现为肺纹理增多、小叶性肺炎、肺气肿、肺水肿等改变;3例晚期出现慢性支气管炎、肺间质纤维化、肺大泡及肺心病等改变。结论重症急性氨中毒的肺部损伤是不可逆转的损伤。

关 键 词:氨中毒  肺损害  X线  CT

Analysis on X-ray and CT Signs of Pulmonary Acute Ammonia Poisoning:a Report of 11 Cases
Institution:LI Xiong,ZENG Wei-hua,HE Jian-lin,et al.(Department of Radiology,Xiangtan Central Hospital,Xiangtan 411000,Hunan,China)
Abstract:Objective To study the X-ray and CT signs of lung injury in acute ammonia poisoning.Methods The X-ray and CT features of lung in 11 cases of ammonia poisoning were analyzed and all patients were followed up for eight months.Results The X-ray signs of lung in early stage of ammonia poisoning in 11 cases included increased lung markings,lobular pneumonia,pulmonary emphysema and pneumonedema.The X-ray signs of lung in advanced stage of ammonia poisoning in 3 cases included chronic bronchitis,pulmonary interstitial fibrosis,pulmonary bullae and pulmonary heart disease.Conclusions Lung injury caused by severe acute ammonia poisoning is irreversible.
Keywords:CT
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