超声诊断艾滋病心包腔积液与临床症状及免疫检查的相关性研究

发布时间：2018-03-12 14:16

  本文选题：彩色多普勒超声　切入点：心包腔积液　出处：《重庆医学》2017年16期 　论文类型：期刊论文

【摘要】：目的探讨艾滋病心包腔积液声像图特征与临床症状及免疫检查的相关性。方法选择重庆市公共卫生医疗救治中心收治的艾滋病合并心包腔积液患者51例,观察其临床症状及免疫检查结果。结果超声检查能准确测量心包腔液性暗区间距(反应心包腔积液量参数),少量积液33例、中量积液11例、大量积液7例。艾滋病患者临床症状与心包腔积液量具有一定相关性,即少量时患者开始伴有临床症状,心包腔积液量持续增加,临床症状逐渐加重趋势。艾滋病患者合并心包腔积液量也与CD4、CD4/CD8成正相关。结论超声检查是诊断心包腔积液的一种无创技术,能粗略估量心包腔积液量从而代替CD4、CD4/CD8的免疫检查判断病情,可以减少反复抽血,以减轻患者痛苦。
[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.
【作者单位】： 重庆市公共卫生医疗救治中心;第三军医大学新桥医院超声科;
【分类号】：R512.91;R542.12
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本文编号：1601920