| 脂肪栓塞综合征肺部CT表现--附5例和文献复习 |
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| 引用本文： | 李咏梅,罗天友,吴景全,吕发金,胡志华.脂肪栓塞综合征肺部CT表现--附5例和文献复习[J].重庆医科大学学报,2005,30(3):482-483. |
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| 作者姓名： | 李咏梅 罗天友 吴景全 吕发金 胡志华 |
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| 作者单位： | 重庆医科大学临床学院放射科,重庆,400016;重庆医科大学临床学院放射科,重庆,400016;重庆医科大学临床学院放射科,重庆,400016;重庆医科大学临床学院放射科,重庆,400016;重庆医科大学临床学院放射科,重庆,400016 |
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| 摘 要： | 目的:探讨脂肪栓塞综合征(fat embolism syndrome,FES)肺部CT表现.方法:分析5例临床证实的FES,均作了肺部CT扫描,其中3例作过X线胸片.结果:①CT显示双肺多发斑片状、磨玻璃样实变影3例,双肺弥漫暴风雪样改变2例,其中伴有胸腔积液2例;②X线显示肺纹理增多2例,1例表现正常.结论:双肺弥漫斑片状或暴风雪样改变为多发性骨折后并发FES肺部CT典型表现,CT检查可为FES后肺部表现提供影像学证据,早期诊断有利于指导临床治疗和估计病人预后.
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| 关 键 词： | 脂肪栓塞综合征 肺 体层摄影术 计算机 |
| 文章编号： | 0253-3626(2005)03-0482-02 |
| 修稿时间： | 2004年11月23 |
CT diagnosis of fat embolism syndrome in the chest(A report of 5 cases) |
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| LI Yongmei,et al.CT diagnosis of fat embolism syndrome in the chest(A report of 5 cases)[J].Journal of Chongqing Medical University,2005,30(3):482-483. |
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| Authors: | LI Yongmei |
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| Abstract: | Objective:To evaluate the diagnosis of fat embolism syndrome(FES)imagings in the chest with Spiral CT.Methods:To analyze 5 cases FES which had been proved by clinical diagnosis,all had received Spiral CT scanning,among which 3 cases had X-ray chest plain films done.Results:Chest CT imagings showed bilateral multiple patchy and ground-glass opacity imagings in 3 cases,diffuse 2 cases,pleural effusion in 2cases.X-ray chest plain films showed the lung markings increased in 2 cases,normal in 1 case.Conclusion:Bilateral pulmonary diffuse multiple-patchy or "snowstorm" changes in the chest were the typical CT imagings after the multiple-bone fractures complicated by FES.It can provide evidence directly for FES with Spiral CT,earlier diagnosis of FES in the chest scanning can help clinical therapy and evaluate prognosis. |
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| Keywords: | Fat embolism syndrome Lung Tomography Computer |
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