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[15例急性苯中毒所致中毒性脑病分析]

[Analysis of 15 cases of toxic encephalopathy caused by acute benzene poisoning].

作者信息

Zheng Q N, Sheng W S, Pan A S

机构信息

Department of Radiology, Yueqing People's Hospital of Zhejiang, Yueqing 325600, China.

Department of Radiology, the First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2022 Sep 20;40(9):694-697. doi: 10.3760/cma.j.cn121094-20211011-00494.

Abstract

In this paper, the MRI manifestations of 15 patients with benzene toxic encephalopathy were analyzed, and the lesion location, shape, scope and signal were observed. The clinical manifestations of 15 patients were mainly central nervous system damage, and the MRI manifestations were characteristic, with a wide range of lesions, and the shapes were "sunflower-like", "flame-like", "bracket-like" and "butterfly-like", and the MRI signal was sheet-like long T(1), long T(2), fluid attenuated inversion recovery (FLAIR) sequence and diffusion weighted imaging (DWI) high signal, apparent diffusion coeffecient (ADC) map low, equal or high signals. When the patient's diagnosis is unclear, MRI examination may provide clinical basis for diagnosis.

摘要

本文分析了15例苯中毒性脑病患者的MRI表现,观察其病变部位、形态、范围及信号。15例患者临床表现以中枢神经系统损害为主,MRI表现具有特征性,病变范围广,形态有“葵花状”“火焰状”“括号状”及“蝶状”,MRI信号呈片状长T(1)、长T(2),液体衰减反转恢复(FLAIR)序列及扩散加权成像(DWI)呈高信号,表观扩散系数(ADC)图呈低、等或高信号。当患者诊断不明确时,MRI检查可为临床诊断提供依据。

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