^(99m)Tc-MAA肺灌注显像诊断小儿肾病综合征并发肺栓塞的临床价值  

The clinical value of pulmonary perfusion imaging complicated with pulmonary embolism in children of nephrotic syndrome

作　　者：林军[1] 陈宁[1] 缪蔚冰[1] 彭接权[1] 江志红[1] 吴晶[1] 

机构地区：[1]福建医科大学附属第一医院,福州350005

出　　处：《核技术》2001年第5期341-344,共4页Nuclear Techniques

摘　　要：为观察小儿肾病综合征并发肺栓塞的临床特点 ,用99mTc -MAA肺灌注显像方法 ,检查 30例血D2 聚体阳性的肾病综合征患儿。结果检出肺栓塞患儿 14例 (占 4 6.7% ) ,肺栓塞节段分别为 1—7段。表明行肝素为主的抗凝治疗 2周后 ,绝大多数患儿痊愈好转。说明小儿肾小球疾病并发肺栓塞为临床常见 ,用99mTc -MAA肺灌注显像诊断肺栓塞方法可靠、灵敏 ,对判断治疗效果也有一定价值。To investigate the clinical features of complicated with pulmonary embolism nephrotic syndrome in children. 99m Tc-MAA pulmonary perfusion imaging was performed on 30 nephrotic syndrome in children with elevated plasma D-dimer. Results shown that 14 of 30 patients were found to have pulmonary embolism (46.7%). Pulmonary perfusion imaging showed an involvement of 1 pulmonary segment in 3 cases, 2 segments in 2 cases and over 3 segments in other 9 cases. Among them, there were 7 segments involved in one case. After two weeks of heparin anticoagulative therapy, most cases showed a recovery. The result of this study suggested that pulmonary embolism is a common complication of nephrotic syndrome. Pulmonary perfusion imaging is simple, effective and accurate method for the diagnosis of pulmonary embolism, and it also can help to assess the value of clinical therapy.

关 键 词：肾病综合征 肺栓塞 放射性核素显像 诊断 锝99M标记 MAA 肺灌注显像剂 

分 类 号：R817.47[医药卫生—影像医学与核医学] R692[医药卫生—放射医学]