摘要
目的 探讨重症肝炎门脉动力学变化的意义。方法 对 84例临床治愈组和 78例临床恶化或死亡组的重症肝炎的门脉动力学参数及其二维声像表现进行回顾性分析。结果 临床治愈组的门静脉血流速度与正常组无差异 ,临床恶化或死亡组的门脉血流速度明显减缓 ,两组比较有显著性差异 (P<0 .0 1)。临床治愈组的二维声像表现为轻度损害改变者占 94 .0 5 % ,而另一组表现为重度改变者占 79.4 8% ,两组比较有高度显著性差异 (P<0 .0 1)。结论 重症肝炎发生在已有明显肝损坏的患者 ,当门脉血流速度明显减缓时则预后差。认为彩超检查对重症肝炎的预后判断及指导治疗有一定的价值。
Objective To explore the value of the hemodymamic changes of portal vein in severe hepatitis.Methods In eighty-four clinical curred cases and seventy-eigat or dead cases with severe hepatitis,hemodymamic parameters and two-dimensional sonographic changes were studied.Results The blood flow velocity in portal vein in chinical cases had no difference from that of normal controls.The blood flow velocity of the other cases was slower than that clinical curred cases.There was significant difference between the two groups((P<0.01).Sonograohy showed slight changes in clinical cases(94.05%)and severe changes in deteriorated cases(79.48)(P<0.01).Conclusions The deteriorated group had serious liver damage which caused the decrease of flow velocity in portal vein resulting in bad prognosis.Color Doppler ultrasound is worthy in diagnosis,prognosis and treatment of severe hepatitis.
出处
《中国超声诊断杂志》
2004年第10期751-754,共4页
Chinese Journal of Ultrasound Diagnosis
