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The Area of Ground Glass Opacities of the Lungs as a Predictive Factor in Acute Paraquat Intoxication
Journal of Korean Medical Science ; : 636-640, 2009.
Artigo em Inglês | WPRIM | ID: wpr-170159
ABSTRACT
Even though plasma paraquat (PQ) levels have known to be an informative predictor, many patients succumb at low PQ levels in acute PQ intoxication. This study was designed to see whether the high resolution computerized tomography (HRCT) of the lungs would be a predictive measure in acute PQ intoxication. HRCT of the lungs was obtained from 119 patients with acute PQ intoxication on 7 days after PQ ingestion. The areas with ground glass opacities (GGOs) were evaluated at five levels with the area measurement tool of the picture archiving and communication systems. Among 119 patients, 102 survived and 17 died. The plasma PQ levels were significantly higher in the non-survivors than in the survivors (2.6+/-4.0 microgram/mL vs. 0.2+/-0.4 microgram/mL, P=0.02). The area with GGOs was 2.0+/-6.4% in the survivors and 73.0+/- 29.9% in the non-survivors (P<0.001). No patients survived when the area with GGOs was more than 40% but all of the patients survived when the area affected by GGOs was less than 20%. In conclusion, the area of GGOs is a useful predictor of survival in acute PQ intoxication, especially in patients with low plasma PQ levels.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Paraquat / Tomografia Computadorizada por Raios X / Doença Aguda / Valor Preditivo dos Testes / Estudos Retrospectivos / Sobreviventes / Diagnóstico Diferencial / Lesão Pulmonar / Herbicidas Tipo de estudo: Estudo diagnóstico / Estudo observacional / Estudo prognóstico Limite: Adulto / Feminino / Humanos / Masculino Idioma: Inglês Revista: Journal of Korean Medical Science Ano de publicação: 2009 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Paraquat / Tomografia Computadorizada por Raios X / Doença Aguda / Valor Preditivo dos Testes / Estudos Retrospectivos / Sobreviventes / Diagnóstico Diferencial / Lesão Pulmonar / Herbicidas Tipo de estudo: Estudo diagnóstico / Estudo observacional / Estudo prognóstico Limite: Adulto / Feminino / Humanos / Masculino Idioma: Inglês Revista: Journal of Korean Medical Science Ano de publicação: 2009 Tipo de documento: Artigo