摘要
目的探讨急性一氧化碳中毒后迟发性脑病(DEACMP)的CT特点及其临床意义。方法对于33例经临床确诊患者的临床及CF资料进行分析。结果DEACMP的CT特点为12例双侧大脑白质低密度改变,占36.3%;6例出现双侧或单侧基底节低密度影,占18.2%;9例出现脑萎缩,占27.3%。随访时长谷川痴呆量表得分结果:24分以上19例,17~23分8例,0~10分6例。结论CF扫描能确定病变的病理改变,对确定病变部位及程度、鉴别诊断和预后的判断有重要的意义。
Objective To investigate the diagnosis value of CT in delayed encephalopathy after acute carbon monoxide poisoning (DEACMP). Methods 33 cases of DEACMP confirmed by clinical and image data were analyzed. Results CT scan in DEACMP showed characteristic changes: 12 cases (36.3%)with diffuse low density within bilateral cerebral white matter, 6 cases (18.2 % )in bilateral or unilateral globuspallidus or basal ganglia areas, 9 cases (27.3 % )showing atrophy of brain. The ,score of Hasegawa's Dementia Scale(HDS) at follow- up time: 19 cases exceeded 24, 8 cases were between 17 23, 6 case.s were between 0 - 10. Conclusion CT has important significance in showing pathologic changes, differentiating diagnosis and judging prognosis.
出处
《新乡医学院学报》
CAS
2006年第5期527-529,共3页
Journal of Xinxiang Medical University
关键词
急性一氧化碳中毒
迟发性脑病
CT
acute carbon monoxide poisoning
delayed encephalopathy
CT