本文選題：彩色多普勒超聲　切入點(diǎn)：心包腔積液　出處：《重慶醫(yī)學(xué)》2017年16期 　論文類型：期刊論文

【摘要】：目的探討艾滋病心包腔積液聲像圖特征與臨床癥狀及免疫檢查的相關(guān)性。方法選擇重慶市公共衛(wèi)生醫(yī)療救治中心收治的艾滋病合并心包腔積液患者51例,觀察其臨床癥狀及免疫檢查結(jié)果。結(jié)果超聲檢查能準(zhǔn)確測量心包腔液性暗區(qū)間距(反應(yīng)心包腔積液量參數(shù)),少量積液33例、中量積液11例、大量積液7例。艾滋病患者臨床癥狀與心包腔積液量具有一定相關(guān)性,即少量時患者開始伴有臨床癥狀,心包腔積液量持續(xù)增加,臨床癥狀逐漸加重趨勢。艾滋病患者合并心包腔積液量也與CD4、CD4/CD8成正相關(guān)。結(jié)論超聲檢查是診斷心包腔積液的一種無創(chuàng)技術(shù),能粗略估量心包腔積液量從而代替CD4、CD4/CD8的免疫檢查判斷病情,可以減少反復(fù)抽血,以減輕患者痛苦。
[Abstract]:Objective to investigate the correlation between the ultrasonographic features of AIDS pericardial effusion and clinical symptoms and immunological examination. Methods 51 patients with AIDS complicated with pericardial effusion were selected from Chongqing Public Health Medical treatment Center. Results Ultrasonography could accurately measure the distance between the dark areas of pericardial fluid, 33 cases with small amount of fluid and 11 cases with medium volume of fluid. There was a certain correlation between the clinical symptoms of AIDS patients and the amount of pericardial effusion, that is, when a small amount of patients began to have clinical symptoms, the amount of pericardial effusion continued to increase. The clinical symptoms are gradually worsening. The amount of pericardial effusion in AIDS patients is also positively correlated with CD4 / CD4 / CD8. Conclusion Ultrasonography is a noninvasive technique for diagnosing pericardial effusion. It can roughly estimate the amount of pericardial effusion instead of CD4 + CD4 / CD8. It can reduce the repeated blood sampling and alleviate the pain of the patients.
【作者單位】： 重慶市公共衛(wèi)生醫(yī)療救治中心;第三軍醫(yī)大學(xué)新橋醫(yī)院超聲科;
【分類號】：R512.91;R542.12
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本文編號：1601920