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目的观察急性砷化氢中毒对肝脏的影响。方法选择78例被诊断为急性砷化氢中毒的患者为接触组,80例无砷化氢接触史的健康人为对照组,应用B超对接触组的肝脏进行常规检查,并将其临床表现和有关生化检查结果与对照组比较。结果接触组肝功能各项指标明显升高,部分患者B超检查肝脏各径线增大、光点增粗、肝内胆管增粗,图像异常发生率高于对照组。结论急性砷化氢中毒可致肝功能异常,肝脏声像改变。
Objective To observe the effect of acute arsine poisoning on the liver. Methods Seventy eight patients diagnosed as acute arsine poisoning were selected as the exposure group and 80 healthy subjects without history of exposure to arsine were enrolled. The liver of the contact group was routinely examined by B-mode ultrasound, and its clinical manifestations and The biochemical test results compared with the control group. Results The indexes of hepatic function in the contact group were obviously increased. In some patients, the diameter of each diameter of the liver increased, the light spot thickening, the intrahepatic bile duct thickening and the abnormal imaging rate were higher than those in the control group. Conclusion Acute poisoning of arsine can cause abnormal liver function and change of liver sound image.