The  clinical  value  of  pulmonary  perfusion  imaging  complicated with   pulmonary embolism in children of nephrotic syndrome

LIN Jun  CHEN Ning  MIAO Weibing  PENG Jiequan  JIANG Zhihong  WU Jing

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The clinical value of pulmonary perfusion imaging complicated with pulmonary embolism in children of nephrotic syndrome

更新时间：2021-03-12

- The clinical value of pulmonary perfusion imaging complicated with pulmonary embolism in children of nephrotic syndrome
- NUCLEAR TECHNIQUES Issue 5, (2001)
- 作者机构：
  
  福建医科大学附属第一医院,福州,350005
- 作者简介：
- 基金信息：
- DOI：
  CLC： R726.9
- Published：01 May 2001
- 稿件说明：
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[1]林军,陈宁,缪蔚冰,彭接权,江志红,吴晶.~(99m)Tc-MAA肺灌注显像诊断小儿肾病综合征并发肺栓塞的临床价值[J].核技术,2001(05):341-344.

LIN Jun CHEN Ning MIAO Weibing PENG Jiequan JIANG Zhihong WU Jing. The clinical value of pulmonary perfusion imaging complicated with pulmonary embolism in children of nephrotic syndrome[J]. Nuclear techniques, 2001, (5): 341-344.
[1]林军,陈宁,缪蔚冰,彭接权,江志红,吴晶.~(99m)Tc-MAA肺灌注显像诊断小儿肾病综合征并发肺栓塞的临床价值[J].核技术,2001(05):341-344. DOI：

LIN Jun CHEN Ning MIAO Weibing PENG Jiequan JIANG Zhihong WU Jing. The clinical value of pulmonary perfusion imaging complicated with pulmonary embolism in children of nephrotic syndrome[J]. Nuclear techniques, 2001, (5): 341-344. DOI：

摘要

为观察小儿肾病综合征并发肺栓塞的临床特点

用99mTc -MAA肺灌注显像方法

检查 30例血D2 聚体阳性的肾病综合征患儿。结果检出肺栓塞患儿 14例（占 4 6.7% ）

肺栓塞节段分别为 1—7段。表明行肝素为主的抗凝治疗 2周后

绝大多数患儿痊愈好转。说明小儿肾小球疾病并发肺栓塞为临床常见

用99mTc -MAA肺灌注显像诊断肺栓塞方法可靠、灵敏

对判断治疗效果也有一定价值。

Abstract

To investigate the clinical features of complicated with pulmonary embolism nephrotic syndrome in children. 99m Tc-MAA pulmonary perfusion imaging was performed on 30 nephrotic syndrome in children with elevated plasma D-dimer. Results shown that 14 of 30 patients were found to have pulmonary embolism (46.7%). Pulmonary perfusion imaging showed an involvement of 1 pulmonary segment in 3 cases

2 segments in 2 cases and over 3 segments in other 9 cases. Among them

there were 7 segments involved in one case. After two weeks of heparin anticoagulative therapy

most cases showed a recovery. The result of this study suggested that pulmonary embolism is a common complication of nephrotic syndrome. Pulmonary perfusion imaging is simple

effective and accurate method for the diagnosis of pulmonary embolism

and it also can help to assess the value of clinical therapy.

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苏州大学附属第二医院核医学科

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