肾综合征出血热病程中彩色多普勒监测肾血流临床应用价值  

THE CLINIC APPLICATION VALUE OF COLOR DOPPLER IN MONITORING RENAL BLOOD FLOW OF HEMORRHAGIC FEVER WITH RENAL SYNDROME

作　　者：韩志钧[1] 闫伟[2] 牛勇新 刘震霞[1] 张俊芳[1] 张琛[1] 

机构地区：[1]河北省保定市传染病医院,保定071000 [2]河北省保定市妇幼保健院

出　　处：《现代预防医学》2009年第6期1179-1181,共3页Modern Preventive Medicine

摘　　要：[目的]观察肾综合征出血热(HFRS)病程中肾血流动力学变化,对HFRS临床各期各型早发现、早诊断、早治疗。[方法]应用彩色多普勒超声诊断仪检测171例经血清学证实的HFRS患者病程中肾各级动﹑静脉血流频谱参数与100例正常人对照。[结果]HFRS肾动脉血流频谱在发热期﹑恢复期与正常对照组比较差异无统计学意义(P﹥0.05),少尿期﹑移行期各级肾动脉RI﹑PI明显高于正常组(P﹤0.01),Vmax﹑Vmin在少尿期最低,尤以Vmin降低显著。[结论]HFRS临床各期肾血流动力学变化存在客观规律,对临床实施治疗方案有指导意义,应用价值较高。[ Objective ] To observe the hemodynamic changes of kidney arteries in course of Hemorrhagic Fever with Renal Syndrome （HFRS）, and perform early detection, diagnosis and treatment of different clinical types of HFRS. [Methods] 171 cases with serum-proven HFRS and 100 health people were collected, and their blood flow spectrum parameters of the kidney arteries were detected with Color Doppler and compared with controls. [ Results] The blood flow spectrum parameters of the kidney arteries among patients with HFRS during the hot stage and convalescence stage did not showed significant difference when compared with the controls （P 〉 0.05）. The resistant indexes （RI） and pulse indexes （PI） of the kidney arteries during the ohguria stage and migratory stage were significantly higher than those of controls （P 〈 0.05 ）. The Vrnax and Vmin showed to be the lowest during the oligourinary stage, especially Vmin significantly decreased. [Conclusion] Objective rules exist in the change of kidney＂ hemodynamics of different stage of HFRS. which has great practical values in treatment of HFRS.

关 键 词：肾综合征出血热 彩色多普勒 临床应用 

分 类 号：R444[医药卫生—诊断学]