摘要
目的:系统认识流行性出血热(EHF)声像图改变并探讨与临床病型病期的关系问题.本文分析了49例EHF超声连续观察随访的资料.结果:肝脏、胆囊、脾脏、肾脏、肠道、腹膜后间隙、浆膜腔在本组的异常显像率分别为5l.0%、46.0%、61.2%、89.8%、32.8%、51.0%、67.3%,其中部分双肾锥体及腹膜后间隙的改变显示为特征性;在临床轻、中、重、危重四型中诸脏器异常显像率不断增高;五期经过中腹膜后间隙改变显像于少尿期之前,而其它脏器的改变可持续于整个病期,且以少尿期最明显.结论:EHF声像图改变因临床病型病期不同有一定差异,B超进行病型病期及分段观察是必要的,这对于提高EHF的显像水平有重要意义.
Purpose To know the changes of EHF sonography systematically and discuss the relationship between the changes and the clinical problems of Type IV Stadium V. Statitics and analyses were made on 49 cases by continual follow-up B ultrasound survey. Results The positive rate of liver, gallbladder, kidney, intestinal tract. posteiror peritoneal spaces and serous cavacity in this group is 51.0%, 46.0%, 61.2%, 89.9%, 32.8%, 51.0% and 67.3% respectively, among which the changes of double kidneys and posterior peritoneal spaces are characteristic. With the deterioration of the disease type, the positive rate increases. During the stadium, only the changes of posterior peritoneal spaces take place before oliguric stage. Changes of the other organs can last to the recovery stage. The highest rate lies in oliguric stage. Conclusion: The changes of EHF sonography differs in different disease types and different stadiums. So periodic B ultrasound survey is necessary, which is significant tothe raise of the develop leval.
出处
《临床超声医学杂志》
1998年第2期94-97,共4页
Journal of Clinical Ultrasound in Medicine
