摘要
目的探讨多种职业中毒对患者腹部及心脏影响的超声表现,明确超声在职业中毒中的诊断意义。方法对已确诊的68例职业中毒,汞中毒(15例);铅中毒(10例),硝基甲苯中毒(8例);锰中毒(7例);砷化氢中毒(4例)聚录乙烯中毒(2例)和一氧化碳中毒(22例),均进行腹部及心脏超声检查,了解肝、胆、胰、脾、肾、胃肠及心脏功能情况。结果各种职业中毒均见较明显的腹部及胃肠胀气。肝脏改变主要以肝大、肝实质光点回声增粗、增强,及脂肪肝图像改变为主,且各毒物对肝脏的远期影响所致图像存在一定差异性。胆囊病变以炎症图像为主,其次是结石、息肉。部分脾脏增大。部分肾脏增大,急性肾功能损害改变。心脏偶见收缩功能减退、心包积液。结论各种职业性中毒可不同程度引起脏器异常改变,改变程度,涉及脏器以接触毒物种类、程度不同有所共性及特性。
Objective The present study is to investigate the ultrasonic manifestations of various occupation poisoning effects on abdominal and cardiac, to clarify the diagnosis significance of ultrasound in the occupation poisoning. Methods 68 cases which has confirmed occupational poisoning, which were the mercury poisoning（15 cases）; lead poisoning（10 cases）, nitro toluene poisoning（8 cases）;manganese poisoning（7 cases）; hydrogen arsenide poisoning（4 cases）, polyvinyl chloride poisoning（2 cases） and carbon monoxide poisoning（22 cases）, they underwent abdominal and cardiac ultrasound, understanding of liver, bile, pancreatic, spleen, kidney, and heart function of gastrointestinal conditions. Results Various occupation poisoning were found obvious abdominal and gastrointestinal flatulence situation.Liver changes mainly in liver becomes large, parenchymal liver spot coarse echotexture, enhancement, fatty liver image changes, and because of the influence of long term each toxicants on liver lead to some differences of the image exist. Gallbladder lesions with inflammatory images, followed by the stones, polyp can also be found partial splenic enlargement, partial enlarged kidneys, acute renal damage. Occasionally can be found in cardiac contractile dysfunction and pericardial effusion. Conclusion Various occupation poisoning can cause different degree of organ abnormalities, the change degree of organs, mainly organ contact poison relates to the type and degree of different but have common and characteristics.
出处
《新疆医学》
2016年第9期1124-1126,共3页
Xinjiang Medical Journal
关键词
多种
职业中毒
腹部、心脏
超声表现
Various
Occupation Poisoning
Abdomen
Cardiac
Ultrasonography
