肾综合征出血热胸部并发症的CT表现  

CT Features of Chest Complications in Hemorrhagic Fever with Renal Syndrome

作　　者：王晓妮[1,2] 徐珞[1] 

机构地区：[1]青岛大学医学院病理生理教研室,山东青岛266021 [2]青岛市第六人民医院,山东青岛266033

出　　处：《现代生物医学进展》2011年第10期1950-1952,1936,共4页Progress in Modern Biomedicine

摘　　要：目的:总结肾综合征出血热(EHF)胸部并发症的CT表现和探讨胸部CT表现对肾综合征出血热的诊断价值。方法:分析60例经HFRS-IgM阳性确诊的HFRS的胸部螺旋CT表现,其中轻型5例、中型20例、重型28例、危重型7例。结果:肺部感染22例,肺水肿12例,胸腔积液41例,心包积液17例,其中,心包积液合并肺水肿者4例,肺部感染并胸腔积液者4例,胸腔积液合并下肺局部膨胀不全18例,胸部CT检查正常8例。结论:肾综合征出血热,胸部并发症发生几率较高,以胸腔积液及胸腔积液并下肺膨胀不全发生几率最高,HFRS的胸部CT表现对于临床有很好的治疗意义,早期CT检查可准确显示肾综合征出血热病人胸部改变的特征。To investigate the CT features of chest complications of epidemic hemorrhagic fever （EHF） with Renal Syndrome and to study its clinical diagnostic application. Methods： We analyzed the CT features of chest of sixty patients conftrmed by the HFRS-IgM positive .Among the patients,5 cases is light; 20 cases, medium; 28 cases, severe; 7 cases, critical. Results： Lung pneumonia in 22 cases, pulmonary edema in 12 cases, pleural effusion in 41 eases,pericardiac effusion in 17 cases. In them, pericardiac effusion with pulmonary edema 4 cases, lung pneumonia and pleural effusion in 4 cases, pletLral effusion with partial atelectasis 18 cases, the normal in 8 eases. Conclusion： There is a high probability of occurrence in Epidemic hemorrhagic fever with renal syndrome. The CT examination of chest have a very good treatment and clinical significance.Pleural effusion and pleural effusion with partial atelectasis occur the most often.Earlier CT examination of chest can show the earlv chest complications change of the EHF patients.

关 键 词：肾综合征出血热 胸部 X线计算机 CT 

分 类 号：Q95-3[生物学—动物学] R512.8[医药卫生—内科学]