论文部分内容阅读
目的：探讨１１３例流行性出血热（ＥＨＦ）患者的腹腔脏器超声图改变，探讨超声图对ＥＨＦ早期诊断的临床意义。方法：检查时间为病程的２～２５ｄ，先常规检查腹腔脏器；再探查肾脏及肾周围的声像图改变，同时将超声诊断、免疫诊断和临床诊断分别进行比较。结果：声像图显示，肝脏、胆囊、脾脏、肾脏均有不同程度增大；５１例有腹腔积液；超声诊断阳性率达９３．４％，与临床诊断比较，差异有显著性（Ｐ＜０．０１），与免疫诊断相比，差异也有显著性（Ｐ＜０．０５）。结论：超声对早期ＥＨＦ的诊断明显优于临床及免疫诊断。
Objective: To investigate the changes of abdominal viscera in 113 cases of epidemic hemorrhagic fever (EHF) and discuss the clinical significance of ultrasound in the early diagnosis of EHF. Methods: The time of examination was 2 ~ 25 days. The abdominal organs were routinely inspected first. Then the changes of the kidneys and the kidneys around the sonogram were examined. At the same time, the ultrasonic diagnosis, immunological diagnosis and clinical diagnosis were compared respectively. Results: The sonography showed that the liver, gallbladder, spleen and kidney all increased in varying degrees; 51 cases had ascites; the positive rate of ultrasonic diagnosis was 93.4%, which was significantly different from the clinical diagnosis (P < 0.01). Compared with immune diagnosis, the difference was also significant (P <0.05). Conclusion: The diagnosis of early EHF by ultrasound is better than clinical and immunological diagnosis.