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,许志高,武志峰,等.未行肾替代治疗的慢性肾功能不全患者的尿毒症肺CT分级与血肌酐水平的关系[J].中国医学影像技术,2011,27(7):1388-1391.
2. 刘再义,肖家和,汪鹏荣.尿毒症血液透析180例胸部影像及临床分析[J].罕少疾病杂志,2008,15(4):7-11.
3. 王代兵,韩荣旗,栾海,等.100例尿毒症胸部临床表现及X线分析[J].中国疗养医学,2009,18(5):458-459.
4. 姜宏伟,董军,董长海.尿毒症胸片临床分析[J].中国实用医药,2009,4(14):58.
5. 于敏,卢建军,史耀勋,等.尿毒症肺炎33例临床分析[J].中华医院感染学杂志,2009,19(4):389-391.
6. 陈文彬.尿毒症性肺[J].华西医科大学学报,1991(1):113.
7. 叶仁高.慢性肾功能衰竭[M].北京:人民卫生出版社,1996:511.
8. 陈孝文,梁东,刘华锋.慢性肾衰竭[M].北京:中国医药科技出版社,2006:202.
9. 刘晋新,江松峰,陈碧华,等.260例SARS病人胸部X线表现[J].中国医学影像技术,2003,19(7):790-792.
10. 钱桐荪.肾脏病学[M].2版.南京:江苏科学技术出版社,1981:1385-1396.
11. 崔小英,张旭,冯辉,等.尿毒症肺部病变29例尸检分析[J].中华肾脏杂志,1993,9:287.
12. 蔡柏蔷.慢性肾衰的肺部并发症[J].中华结核和呼吸杂志,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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