重症全身性感染患者急性肾损害超声早期诊断的意义

Ultrasound for early diagnosis of acute kidney damage in patients with severe systemic infection

目的重症全身感染的患者治疗期间观察对于急性肾损害使用超声波法诊断的效果,为临床治疗提供参考依据。方法从2012年1-12月随机选取100例患者进行研究;通过超声波及实验室检测血肌酐两种方法进行急性肾损害早期的诊断,超声波测量肾脏的大小、肾脏动脉的收缩期和舒张期的峰值流速、肾脏的阻力指数等,实验室检测血肌酐值;比较两种诊断方法对于急性肾损害诊断的敏感性。结果使用超声波检测肾脏的大小、肾脏动脉收缩期和舒张期的峰值流速、肾脏的阻力指数、肾血管搏动指数等指标,结果有53例患者诊断急性肾损害,血肌酐有两例检出急性肾损害。结论在重症全身性感染患者进行急性肾损害的诊断中,应用超声波法取得了很好的诊断结果,能够更早发现患者的病情变化,为治疗争取更多的时间,值得广泛的推广应用。

OBJECTIVE To observe the ultrasonic diagnostic results for acute kidney damage in patients with severe systemic infection so as to provide reference for clinical treatment .METHODS Totally 100 cases from Jan .to Dec . 2012 were randomly selected for study .Two methods ,the ultrasonic examination and the laboratory serum creati‐nine test ,were used for early diagnosis of acute kidney damage .The ultrasound was used to measure the size of the kidney ,systolic and diastolic peak flow velocity of renal artery ,renal resistance index and so on .The laborato‐ry serum creatinine test was also conducted .Diagnostic sensitivity for acute kidney damage was compared between the two methods .RESULTS When using ultrasound to detect the size of the kidney ,systolic and diastolic peak flow velocity of renal artery ,and renal resistance index ,plasticity index and other indicators of renal vessels ,53 patients were diagnosed with acute kidney damage ,while the laboratory serum creatinine test showed 2 patients had acute kidney damage .CONCLUSION For diagnosis of acute kidney damage in severe systemic infection ,the application of ultrasonic diagnosis achieved good results and can find the early changes in the patient′s condition and gain more time for treating ,which is worthy of wide promotion .