慢性肾衰患者心脏损害及颈动脉粥样硬化彩色多谱勒超声分析  

Diagnosis and analysis of cardiac compromising and carotid atherosclerosis in the chronic renal failure patients by color doppler ultrasound

作　　者：荀小青[1] 张晔[1] 

机构地区：[1]武警医学院附属医院特诊科,天津300162

出　　处：《武警医学院学报》2010年第4期286-288,共3页Acta Academiae Medicinae CPAPF

摘　　要：【目的】探讨彩色多普勒超声检查(color doppler flow imaging,CDFI)在慢性肾功能衰竭(chronic renal failure,CRF)所致的心脏损害及颈动脉粥样硬化诊断中的价值。【方法】对124例慢性肾功能衰竭患者(CRF组)及100例健康体检者(正常对照组)行心脏及颈动脉超声检测,对结果进行分析。【结果】本组CRF患者心脏检查:大多数患者出现室间隔增厚、左室舒张功能降低;约一半患者出现心包积液,左房扩大;较严重患者出现左心室扩大,左室收缩期射血分数(ejectionfraction,EF)值降低,肺动脉高压。颈动脉粥样硬化发生率也明显增高。【结论】心脏损害和颈动脉硬化在慢性肾衰中普遍存在。彩色多普勒超声检查可作为CRF患者心血管并发症检查重要的首选方法。[Objective] To explore the clinical value of color doppler flow imaging in the diagnosis of cardiac compromising and carotid atherosclerosis in chronic renal failure patients.[Methods]Both cardiac and carotid structure and function in 124 chronic renal failure patients （CRF group） and 100 healthy volunteers （control group） who had no any disease were detected by ultrasound. The results were statistically analyzed. [Results] Most of the CRF patients in this group with interventricular septum thickening,left ventricle diastolic function reduced,about half cases with pericardial effusion and left atrium enlarged,more serious patients with left ventricle ejection fraction（EF） reduced and pulmonary hypertension. At the same time,carotid atherosclerosis rate raised.[Conclusions]Cardiac compromising and carotid atherosclerosis occurred widely in CRF patients. Color doppler ultrasound can be used in the detection of cardiovascular syndrome in CRF patients.

关 键 词：慢性肾功能衰竭 彩色多普勒超声 心脏损害 颈动脉硬化 

分 类 号：R445.1[医药卫生—影像医学与核医学]