Scintigraphic Evaluation of Inhalation Injury in Fire Victims / 핵의학분자영상
Nuclear Medicine and Molecular Imaging
;
: 28-32, 2006.
Article
in English
| WPRIM
| ID: wpr-182823
ABSTRACT
PURPOSE:
Conventional chest X-ray and pulmonary function test cannot sensitively detect inhalation injury. Bronchoscopy is known to be the gold standard but it is invasive method. We evaluated whether lung inhalation/perfusion scans can sensitively detect inhalation injury of fire victims. MATERIALS ANDMETHODS:
Nineteen patients (male 9, female 10, mean age 31.6 yr) of fire victims were enrolled in this study. Inhalation lung scan was performed 2 days later after inhalation injury with 99mTc-technegas. Perfusion lung scan was performed 4 days later with 99mTc-MAA (macroaggregated albumin). Follow up lung scans were performed 16 and 18 days later for each. Chest X-ray was performed in all patients and bronchoscopy was performed in 17 of 19 patients at the same period. Pulmonary function test was performed in 9 patients.RESULTS:
Four of 19 patients showed inhalation and perfusion defects and one showed inhalation defect but, normal perfusion scan findings. These five patients with abnormal scan findings showed abnormal bronchoscopic findings and severe respiratory symptoms. On chest X-ray, 2 of them had pulmonary tuberculosis and one of them showed pulmonary congestion. FEV1/FVC was abnormal in 3 patients. On the follow up scan, all patients with abnormal initial scan findings showed improved findings and they had improved clinical state.CONCLUSION:
Inhalation/perfusion lung scans can detect inhalation burn injury noninvasively in early stage and may be useful in therapeutic decision making and follow up of patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Perfusion
/
Respiratory Function Tests
/
Thorax
/
Tuberculosis, Pulmonary
/
Bronchoscopy
/
Burns, Inhalation
/
Inhalation
/
Follow-Up Studies
/
Estrogens, Conjugated (USP)
/
Decision Making
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Nuclear Medicine and Molecular Imaging
Year:
2006
Type:
Article
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