肾脏超声及血尿常规在肾病综合征出血热早期诊断中的价值  

Value of Renal Ultrasonography and Urinalysis in the Early Diagnosis of Hemorrhagic Fever with Renal Syndrome

作　　者：吴列秀[1] 宁博[1] 李宽智 

机构地区：[1]宝鸡市中心医院感染科,陕西宝鸡721008

出　　处：《现代诊断与治疗》2013年第6期1223-1224,共2页Modern Diagnosis and Treatment

摘　　要：目的探讨肾综合征出血热患者在发热期肾脏超声及血尿常规的变化特点。方法检测62例发热期肾综合征出血热患者肾脏超声及血、尿常规。结果 62例患者中白细胞计数升高为77.42%,其中中性粒细胞百分比升高占74.19%,淋巴细胞计数降低者占53.23%,血小板计数低于正常98.39%;62例患者组中98.39%的患者尿蛋白阳性,与正常组比较,尿蛋白阳性的发生率有非常显著性差异P<0.01;62例患者中有54例不同程度的肾脏超声示双肾肿大,阳性率达87.09%,双肾各径平均大于对照组,有显著性差异<0.05。结论肾脏超声检查及血、尿常规检测对肾综合征出血热患者早期的疾病诊断有重要参考价值。Objective To discuss the characteristics of kidney ultrasound and urinalysis in febrile period in the treatment of HFRS.Method Renal ultrasonography and urinalysis were detected in 62 patietnts.Results In 62 patients,elevated white blood cell count is 77.42%,the percentage of polymorphonuclear cells higher accounted for 74.19%,decreased Lymphocyte count is 53.23%,platelet count belowed the normal is 98.39%.62 patients,98.39%patients of the group,was urinary protein.Compared with the nor mal group,the incidence of urinary protein has very significant difference（P〈0.01）.In 62 patients,54 patients of renal ultrasound showed bilateral renal enlargement,the positive rate was 87.09%,the average of double kidney diameter was greater than that of the control group,there was significant difference（P 〈0.05）.Conclusion Kidneys ultrasound and blood,urine routine has an important reference value for patients with HFRS in early diagnosis.

关 键 词：肾脏超声 血尿常规 肾综合征出血热 

分 类 号：R373.32[医药卫生—病原生物学]