Khurram Muhammad, Qayyum Wajeeha, Umar Mohammad, Jawad Mohammad, Mumtaz Shumaila, Bushra Khaar Hamam Tul
Department of Medicine, Holy Family Hospital, Rawalpindi, 4Physician, Ministry of Health, KSA.
Department of Medicine, Holy Family Hospital, Rawalpindi.
J Pak Med Assoc. 2016 Mar;66(3):260-4.
To note ultrasonographic findings used for diagnosing plasma leakage in dengue haemorrhagic fever patients.
The observational retrospective study was conducted at the Holy Family Hospital, Rawalpindi and comprised records of patients with confirmed dengue infection who were screened for dengue haemorrhagic fever according to Dengue Expert Advisory Group criteria from July 1 to December 31, 2013. Each patient underwent ultrasonography for the detection of ascites, gall bladder wall thickness, pleural and/or pericardial effusion along with their quantification and localisation.
Of the 240 patients, 166(69.2%) were men. The overall mean age was 28.9±12.4 years. Of the total, 215(89.5%) had ultrasonographic abnormalities, suggestive of plasma leakage. Quantification and localisation wise, mild abdominal ascites 68(47.2%), right pleural effusion 82(74.5%) and mild pleural effusion 98(89%) were commonly noted. None had pericardial effusion.
Mild ascites and mild right pleural effusion were the commonest pattern of ultrasonographic leak in dengue haemorrhagic fever patients.
记录用于诊断登革出血热患者血浆渗漏的超声检查结果。
在拉瓦尔品第的圣家医院开展了一项观察性回顾性研究，纳入了2013年7月1日至12月31日期间根据登革热专家咨询小组标准筛查登革出血热的确诊登革热感染患者的记录。每位患者均接受超声检查，以检测腹水、胆囊壁厚度、胸腔和/或心包积液，并对其进行定量和定位。
240例患者中，166例（69.2%）为男性。总体平均年龄为28.9±12.4岁。其中，215例（89.5%）有超声异常，提示血浆渗漏。在定量和定位方面，常见轻度腹水68例（47.2%）、右侧胸腔积液82例（74.5%）和轻度胸腔积液98例（89%）。无一例有心包积液。
轻度腹水和轻度右侧胸腔积液是登革出血热患者超声检查渗漏的最常见表现形式。
