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潜水事故中压缩空气潜水员的脑部磁共振成像

Cerebral magnetic resonance imaging of compressed air divers in diving accidents.

作者信息

Gao G K, Wu D, Yang Y, Yu T, Xue J, Wang X, Jiang Y P

机构信息

Department of hyperbaric medicine, No. 401 Hospital of PLA , No.22 Minjiang Road, Qingdao 266071, PR China.

出版信息

Undersea Hyperb Med. 2009 Jan-Feb;36(1):33-41.

Abstract

To investigate the characteristics of the cerebral magnetic resonance imaging (MRI) of compressed air divers in diving accidents, we conducted an observational case series study. MRI of brain were examined and analysed on seven cases compressed air divers complicated with cerebral arterial gas embolism CAGE. There were some characteristics of cerebral injury: (1) Multiple lesions; (2) larger size; (3) Susceptible to parietal and frontal lobe; (4) Both cortical grey matter and subcortical white matter can be affected; (5) Cerebellum is also the target of air embolism. The MRI of brain is an sensitive method for detecting cerebral lesions in compressed air divers in diving accidents. The MRI should be finished on divers in diving accidents within 5 days.

摘要

为了研究潜水事故中压缩空气潜水员的脑磁共振成像(MRI)特征,我们进行了一项观察性病例系列研究。对7例并发脑动脉气体栓塞(CAGE)的压缩空气潜水员的脑部MRI进行了检查和分析。脑损伤有一些特征:(1)多发性病变;(2)尺寸较大;(3)易累及顶叶和额叶;(4)皮质灰质和皮质下白质均可受累;(5)小脑也是空气栓塞的目标部位。脑部MRI是检测潜水事故中压缩空气潜水员脑部病变的一种敏感方法。应在潜水事故发生后5天内对潜水员完成MRI检查。

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