创伤性挤压综合征急性肾功能衰竭的超声评价

Ultrasonic evaluation of crush syndrome complicated with acute renal failure

目的探讨超声评价创伤性挤压综合征并发急性肾衰竭(ARF)及监测临床治疗效果的价值。方法回顾性分析10例地震伤挤压综合征急性肾功能衰竭患者的超声检查与临床资料,并与同期单纯四肢骨折伤患者资料进行对照。结果10例并ARF患者中,肌酐(Scr)水平及尿素氮(BUN)水平均显著升高(P<0.01),双肾体积增大、动脉阻力指数增高(P<0.01),其中7例患者入院时人血白蛋白水平明显降低(P<0.01),经治疗后均恢复正常。结论超声对挤压综合征患者肾功能评价及监测临床治疗效果具有较大的价值。

Objective To explore early diagnosis parameters and some methods to diagnose acute renal failure （ARF） in severely crush injury. Methods Clinical data of 10 patients with ARF in severe crush injury following earthquake was analyzed. Ten patients with pure four limbs fracture were enrolled as the control group. Results Compared with the control group, the level o f＇Sera creatinine （Scr） and blood urea nitrogen （BUN） in ARF group increased significantly （P〈0.01）, so did the volume and artery resistant index （RI） of both kidney （P〈0.01）, while the level of sera albumin depressed significantly （P〈0.01）. Conclusion Ultrasonic examination is valuable in evaluating the secondary damage in renal function following earthquake and monitoring therapeutic efficacy. The lost of sera albumin may play a vital role in patients of ARF resulted by earthquake.