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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Sonographic findings in grade III dengue hemorrhagic fever in adults.
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Sonographic findings in grade III dengue hemorrhagic fever in adults.

机译：成人三级登革出血热的超声检查结果。

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PURPOSE: Sonography has been used to evaluate children with dengue hemorrhagic fever, but to our knowledge no such studies have been conducted with adults. We present the sonographic findings in 40 adults with severe (grade III) dengue hemorrhagic fever (DHF). METHODS: Forty patients (30 men and 10 women, aged 16-65 years) given a presumptive diagnosis of grade III dengue hemorrhagic fever during a documented regional epidemic underwent abdominal sonography. Ten also underwent chest radiography. Serologic confirmation was obtained in 5 patients, and in the rest the diagnosis was based on epidemiologic and clinical findings. RESULTS: Sonographic findings included pleural effusion in 21 patients (53%), thickening of the gallbladder wall in 17 (43%), and mild ascites in 6 (15%). These findings were similar to those of previous studies of severe DHF in children, although the incidence of pleural effusion and ascites was slightly lower in our series. Neither pleural effusion nor ascites was apparent on clinical examination. Of the 10 patients who underwent both sonography and chest radiography, sonography detected pleural effusion in all 10, whereas radiography detected it in only 3. CONCLUSIONS: Sonographic findings in DHF in adults (pleural effusions, ascites, and gallbladder wall thickening) were similar to those described for children but seem to be of lesser severity. Abdominal sonography is a useful diagnostic tool for confirming suspected cases of DHF. Sonography was found to be superior to chest radiography in detecting pleural effusions in the 10 patients in whom radiographs were available. Copyright 2000 John Wiley & Sons, Inc.
机译：目的：超声检查已被用于评估登革出血热儿童，但据我们所知，尚未对成年人进行过此类研究。我们介绍了40例严重（III级）登革热出血热（DHF）成人的超声检查结果。方法：四十例患者（30名男性和10名女性，年龄在16-65岁之间）在经记录的区域流行性疾病期间接受了III级登革热出血热的推定诊断，并接受了腹部超声检查。十名也接受了胸部X光检查。 5名患者获得了血清学确认，其余诊断均基于流行病学和临床发现。结果：超声检查结果包括胸腔积液21例（53％），胆囊壁增厚17例（43％）和轻度腹水6例（15％）。这些发现与先前关于儿童严重DHF的研究相似，尽管在我们的系列中胸水和腹水的发生率略低。临床检查均未见胸腔积液或腹水。在接受了超声检查和胸部X线检查的10例患者中，超声检查在所有10例中均检测到胸腔积液，而X线检查仅在3例中发现了胸腔积液。结论：成人DHF的超声检查结果（胸腔积液，腹水和胆囊壁增厚）与那些针对儿童的描述，但严重程度似乎较低。腹部超声检查是确诊DHF疑似病例的有用诊断工具。在检测有X光片的10例患者中，发现超声检查优于胸片检查。版权所有2000 John Wiley＆Sons，Inc.

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