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脂肪栓塞综合征的影像学表现
http://www.100md.com 《实用医技杂志》 2006年第23期
脂肪栓塞综合征;CT;磁共振成像,,],脂肪栓塞综合征;CT;磁共振成像,1资料和方法,2结果,3讨论,参考文献:
     [摘要] 目的:分析脂肪栓塞综合征(FES)患者的影像学表现,提高早期诊断。方法:回顾分析12例脂肪栓塞患者的X片、CT、MRI检查资料。结果:肺部X片示3例弥漫密度增高影,4例多发片影,1例少量胸腔积液,4例正常。CT示12例斑片状、磨玻璃、结节影,2例胸腔积液;脑部CT示2例示低密度影,6例正常;MRI示8例T2WI均为高信号。对称分布在基底节区、侧脑室旁白质、分水岭区、额叶。结论:鉴于FES患者的影像学特点,病灶显示肺部CT优于X片,脑部MRI优于CT。

    [关键词] 脂肪栓塞综合征;CT;磁共振成像

    The Imaging Feature of Fat Embolism Syndrome

    TAN Yanlu, MAO Wenji,ZHANG Daobo

    (The Centre Hospital of Zibo City, Zibo, Shandong 255036, China)

    Abtract:Objective To analyze the imaging features of the patients with fat embolism syndrome so as to improve the early diagnosis. Methods The data on Xray films、CT and MRI of the 12 patients with fat embolism syndrome were ananlyzed retrospectively.Results The chest xray films showed diffuse shadow of the pulmones in 3 cases,multiple patchy in 4 cases ,little pleural effusion in 1 case ,the left 4 casses were normal .the chest CT showed patchy groundglass opacity and nodules in 12 cases, pleural effusion in 2 cases. The cerebral CT showed hypoindensity in 2 cases, the left 6 casses were normal.The cerebral MRI showed highsignals on T2WI in 8 cases.The highsignals symmetrical located in basal ganglion,the white matter nearly lateral ventricle,watershed,frontal lobe.Conclusion According the imaging feature of the patients with fat embolism syndrome ,the chest CT is superior to the xray film in diagnosis FES,the cerebral MRI is superior to CT. ......

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