核素肾动态显像对肝硬化患者肾血液动力学观察  

Observing Hemodynamie Change in PatienC with Cirrhosis by Kadiunuclide Renal Dynamic Imaging.

作　　者：刘桂荣[1] 冯贵生[1] 杨兴政[1] 

机构地区：[1]山西省人民医院,030012

出　　处：《实用医技杂志》1998年第6期358-359,共2页Journal of Practical Medical Techniques

摘　　要：目的 观察各级硬化病人的肾血液动力学变化。资料与方法 35例肝硬化患者,其中A级15例,B级和C级各10例。用^(99m)TC—DTPA肾动态显像法测定其肾血浆流量及肾小球滤过率,同时检验其血尿素氮及肌酐值,并与正常对照组进行比较。结果 A级肝硬化患者各项指标与对照组无差异;B级肝硬化患者与对照组存在显著差异;C级肝硬化患者则与对照组有非常显著性差异。结论 肝硬化患者确有肾血液动力学改变,其改变程度与肝功能不全程度有一定相关性、与血尿素氮、肌酐的改变密切相关。Purpose.: To observe hemodynamic change in patienls with cirrhosis of different grade. Patients and methods: 35 patients with cirrhosis were evaluated using '''PC - D I PA radionudide renal dynamic imaging ?These patients were classified into 3 grades (grade A, B and C). Results The Renal Blood Flow (RBF), Glomerular Filtration Rate (GKR). BUN and Crsatinine were normal in patients with cirrhosis among grade A. RBF arid GBP' were significantly reduced in patients among grade B and C. Conclusion: There were hemodynamir change of liver RBF and GP'R in patients with cirrhosis. I he change of venal function was affected increased with the damage of liver function in patients with cirrhosis.

关 键 词：肾动态显像 肝硬化 肾血浆流量 肾小球滤过率 

分 类 号：R575.2[医药卫生—消化系统]