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流行性出血热是一种自然疫源性疾病,病理变化较复杂,累及脏器较多,以肾脏受累为多见。本文就我院自1995年5 月至1999年12月,临床疑诊经超声检查诊断又经其他检查证实的26例流行性出血热患者肾脏改变的超声声像图特点报道如下。 资料和方法 26例均为我院门诊及住院患者,男16例,女10例,年龄28～69岁。临床均表现为高热、腰痛、少尿。实验室检查:白细胞总数增高15～30×10~3ml以上,早期以中性增高为主,血小板数降低,有异型血小板出现,病程2日后尿中出现蛋白。超声检查;使用美国产百胜—菲莎超声诊断仪,探头频率3.5MHz。患者取俯卧位、侧卧位,分别行纵向、横向及斜向扫查。观察双肾的形态、大小、内部结构及肾周围情况,并进行测量。同时对26例患者进行了治疗期间接的跟踪检查。
Epidemic hemorrhagic fever is a natural foci of disease, pathological changes are more complicated, involving more organs, kidney involvement is more common. This article on our hospital from May 1995 to December 1999, clinical suspicion of ultrasound diagnosis by diagnosis and confirmed by other tests of 26 cases of epidemic of hemorrhagic fever in patients with ultrasound changes in ultrasonography features are reported below. Materials and Methods 26 cases were outpatient and inpatient in our hospital, 16 males and 10 females, aged from 28 to 69 years. Clinical manifestations of fever, low back pain, oliguria. Laboratory tests: The total number of leukocytes increased 15 ~ 30 × 10 ~ 3ml above, mainly in the early neutral increase, reduce the number of platelets, there are irregularly shaped platelets appear in the urine 2 days after the disease protein. Ultrasonography; US-made Yum - Fraser ultrasound diagnostic apparatus, probe frequency 3.5MHz. Patients take prone position, lateral position, respectively, vertical, horizontal and oblique scan. Observation of renal morphology, size, internal structure and the situation around the kidney, and measurement. Twenty-six patients were followed up during the treatment period.