Renal ultrasound findings and their clinical associations in Nephropathia epidemica -: Analysis of quantitative parameters
Renal ultrasound findings and their clinical associations in Nephropathia epidemica -: Analysis of quantitative parameters
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DOI：
10.1034/j.1600-0455.2002.430315.x
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发表时间：
2002-06-01
期刊：
影响因子：
1.3
通讯作者：
Mustonen, J
中科院分区：
文献类型：
--
作者：
Paakkala, A;Kallio, T;Mustonen, J
目的：为了评估肾脏US的结果，在患者肾病nephropathia acummica（NE），并确定这些结果的变化是否与临床过程的NE.Material和方法：肾US进行了23个医院治疗的NE患者在急性期的疾病（第一项研究）。结果：第1次超声检查中12例阻力指数（RI）异常，13例有肾周积液、胸膜积液、心包积液、腹水。从第一次到第二次研究，每个患者的肾脏长度减少，19例患者的皮质实质厚度减少，18例患者的RI减少。所有参数的平均变化均具有显著性。第一次研究中RI增加和液体聚集的存在以及第一次和第二次研究之间长度和RI的较大变化与高最大日尿排泄量、无尿期和多尿期之间体重的实质性变化、高最大血清肌酐和尿素浓度、高血白细胞计数和低红细胞压积值相关。所有NE患者均出现肾脏超声改变。结果的严重程度与液体容量超负荷和临床肾功能不全的程度有关。
Purpose: To evaluate renal US findings in patients with nephropathia epidemica (NE) and to determine whether changes in these findings are related to the clinical course of NE.Material and Methods: Renal US was undertaken in 23 hospital-treated NE patients during the acute phase of their disease (first study). The second US study was performed 3-6 months later.Results: The resistive index (RI) was abnormal in 12 patients and fluid collections (perirenal, pleural, pericardial, ascites) were found in 13 patients in the first study. Renal length decreased in every patient, cortical parenchymal thickness in 19 patients and RI in 18 patients from the first to the second studies. The mean change was significant in all parameters. Increased RI and presence of fluid collections in the first study as well as a greater change in length and RI between the first and the second studies were associated with high maximum daily urine excretion, substantial change in body weight between the anuric and polyuric phases, high maximum serum creatinine and urea concentration, high blood leukocyte count and low hematocrit value.Conclusion: Renal US changes occurred in every patient with NE. The severity of the findings was associated with fluid volume overload and degree of clinical renal insufficiency.