The Clinic Value of Computed Tomography Examination in the Treatment of Uremic Pneumonia_West China Medical Journal

Authors：

 ZILing-hua

CT Room of the Traditional Chinese Medicine Hospital of Mianyang City, Mianyang, Sichuan 621000, P. R. China;

Corresponding?author：

Keywords：

Uremic pneumonia; Therapeutic effect; Tomography, X-ray computer; Diagnostic analysis

DOI：

10.7507/1002-0179.20140083

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Objective To evaluate the value of computed tomography examination in the clinical diagnosis guidance and therapeutic effect assessment for patients with uremic pneumonia. Methods We reviewed the clinical situation and pathogenesis turnover of 64 cases of uremic pneumonia from February 2011 to January 2013,and analyzed the correlation between image modification and treatment effectiveness. Results Sixty-four cases of uremic pneumonia had different image manifestations in each phase of the disease course,including 27 cases of pulmonary venous pleonaemia,51 of lung interstitial edema,8 of pulmonary alveoli effusion,and 15 of pulmonary interstitial fibrosis.Dropsy of serous cavity and the heart shape could be viewed by CT scanning.CT rechecking was carried out after hemodialysis and symptom-targeted treatment.The results showed that CT results of 27 cases of pulmonary venous pleonaemia,51 cases of edema in the interstitial tissue and 41 cases of pleural effusion changed significantly after treatment (P<0.001);the image manifestations of 8 cases of pulmonary alveoli edema also changed significantly (P<0.05);the CT result of 15 cases of pulmonary interstitial fibrosis had no change;six cases among the fourteen cases of pericardial effusion were not absorbed by treatment (P>0.05). Conclusion The diagnosis of uremic pneumonia mainly depends on imaging results.CT scanning plays an important role on the determination of clinical stage,the choice of therapeutic method,and evaluation of curative effect for uremic pneumonia.

Citation： ZILing-hua. The Clinic Value of Computed Tomography Examination in the Treatment of Uremic Pneumonia. West China Medical Journal, 2014, 29(2): 269-272. doi: 10.7507/1002-0179.20140083 Copy

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1. 彭泰松,許志高,武志峰,等.未行腎替代治療的慢性腎功能不全患者的尿毒癥肺CT分級與血肌酐水平的關系[J].中國醫學影像技術,2011,27(7):1388-1391.
2. 劉再義,肖家和,汪鵬榮.尿毒癥血液透析180例胸部影像及臨床分析[J].罕少疾病雜志,2008,15(4):7-11.
3. 王代兵,韓榮旗,欒海,等.100例尿毒癥胸部臨床表現及X線分析[J].中國療養醫學,2009,18(5):458-459.
4. 姜宏偉,董軍,董長海.尿毒癥胸片臨床分析[J].中國實用醫藥,2009,4(14):58.
5. 于敏,盧建軍,史耀勛,等.尿毒癥肺炎33例臨床分析[J].中華醫院感染學雜志,2009,19(4):389-391.
6. 陳文彬.尿毒癥性肺[J].華西醫科大學學報,1991(1):113.
7. 葉仁高.慢性腎功能衰竭[M].北京:人民衛生出版社,1996:511.
8. 陳孝文,梁東,劉華鋒.慢性腎衰竭[M].北京:中國醫藥科技出版社,2006:202.
9. 劉晉新,江松峰,陳碧華,等.260例SARS病人胸部X線表現[J].中國醫學影像技術,2003,19(7):790-792.
10. 錢桐蓀.腎臟病學[M].2版.南京:江蘇科學技術出版社,1981:1385-1396.
11. 崔小英,張旭,馮輝,等.尿毒癥肺部病變29例尸檢分析[J].中華腎臟雜志,1993,9:287.
12. 蔡柏薔.慢性腎衰的肺部并發癥[J].中華結核和呼吸雜志,1997,20(1):10-12.

West China Medical Journal

The Clinic Value of Computed Tomography Examination in the Treatment of Uremic Pneumonia

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