摘要
目的：探讨尿毒症肺的胸部影像学改变与血肌酐（ Scr ）、尿素氮（ BUN ）的相关性。方法将256例尿毒症患者根据胸部CT检查及/或X线摄片以及相关检查结果分为尿毒症肺84例（尿毒症肺组）和非尿毒症肺172例（非尿毒症肺组）。观察两组胸部CT及/或X线检查、Scr和BUN的水平。结果尿毒症肺组有5种影像学表现，包括肺泡水肿（67．86％）、肺间质水肿（16．67％）、肺淤血征（8．33％）、胸腔积液（4.76％）和肺间质纤维化（2．38％）；尿毒症肺组的Scr 和BUN含量[（1145．6±236．4）μmol/L，（38．9±6．1）mmol/L]均显著高于非尿毒症肺组[（905．3±138．9）μmol/L，（23．8±5．6）mmol/L]（t＝8．128、4．782，均P＜0．05）。结论尿毒症肺影像学表现以肺水肿为主，且影像学病理性改变程度与Scr和BUN水平密切相关。
Objective To explore the relationship between serum creatinine （ Scr ） , blood urea nitrogen （ BUN） and lung image changes in uremic patients .Methods According to the chest CT ,X-ray and related findings , 256 patients with uremia were divided into 84 cases of uremia （ uremic lung group ） and non-uremic lung 172 cases （ non-uremic lung group ） .The chest CT and X-ray examination ,Scr and BUN levels were observed .Results Uremic lung group had five types of image findings,including alveolar edema （67.86%）,pulmonary interstitial edema （16.67%）,pulmonary congestion syndrome（8.33%）,pleural effusion（4.76%） and pulmonary interstitial fibrosis （2.38%）.The Scr[（1 145.6 ±236.4）μmol/L]and BUN [（38.9 ±6.1）mmol/L]levels in uremic lung group were significantly higher than those in the non-uremic lung group[（905.3 ±138.9）μmol/L,（23.8 ±5.6）mmol/L]（t=8.128,4.782,all P〈0.05）.Conclusion The image of uremic lung is mainly pulmonary edema ,and radiological and pathological changes are closely related with Scr and BUN levels .
出处
《中国基层医药》
CAS
2014年第10期1446-1448,共3页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省温州市医药卫生科技项目.应用基础研究（2008069）
