肾综合征出血热患者CT表现及改变及临床应用价值研究

CT Manifestations and Changes of Patients with Hemorrhagic Fever with Renal Syndrome and its Clinical Application Value

目的分析肾综合征出血热患者CT表现及改变及临床应用价值。方法回顾分析本院2014年1月至2019年10月收治的134例肾综合征出血热患者作为研究对象,其中轻型31例,中型68例,重型27例,危重型8例。对患者所得图像进行分析,观察记录肾综合征出血热患者肾脏和其他脏器改变情况,以及不同类型患者肾脏和其他脏器发生损害比例情况。结果随着病情的加重,患者脏器损伤情况越严.重,轻型、.中型患者均以脾脏肿大最多,分别占3870%,4117%;27例重型患者均出现胸腔积液情况,而危重型患脏器损伤情况最为严重。双肾肿大患者,MSCT图像上可见为对称性增大,前后经增大情况明显,肾实质增厚,密度为不均匀,皮质期为低密度;胸、腹腔积液患者体内积液随患者病情变化,在多尿期随着患者的尿量增加,其积液逐渐减少、消退。结论肾综合征出血热患者CT有一定特征性表现,通过CT检查可反映出患者肾脏早期改变,可为患者早期诊断及病情变化提供参考,临床使用价值高。

Objective To analyze the CT manifestations and changes of patients with hemorrhagic fever with renal syndrome and its clinical application value. Methods 134 patients with hemorrhagic fever with renal syndrome treated in our hospital from January 2014 to October 2019 were selected and retrospectively analyzed, including 31 cases in mild type, 68 cases in moderate type, 27 cases in severe type, and 8 cases in critically severe type. The images of patients were analyzed, and the changes of the kidneys and other organs in patients with hemorrhagic fever with renal syndrome were observed and recorded, as well as the proportion of patients who had damage to kidneys and other organs in different types of patients. Results With the worsening of the disease, patients’ organ damage became more severe. splenomegaly was the most common in patients in mild and moderate type, accounting for 38.70% and 41.17% respectively. The pleural effusion occurred in 27 patients in severe type, and the organ damage was most severe in patients in critically severe type. The Ms CT images of patients with bilateral renal enlargement showed symmetrical increasing. The increase of the anterior and posterior diameter was obvious, the renal parenchyma was thickened, the density was uneven, and the cortical phase showed low density. The effusion in patients with pleural and abdominal effusion changes with the patient’s condition. During the polyuria phase, as the patient’s urine volume increased, his effusion gradually decreased and subsided. Conclusion CT of patients with hemorrhagic fever with renal syndrome has some characteristics. CT examination can reflect the early changes in the kidneys of the patient, which can provide a reference for early diagnosis and change of the patient’s condition, and it has high clinical value.