Relationship between serum levels of creatinine,urea nitrogen and lung image changes in uremic patients
10.3760/cma.j.issn.1008-6706.2014.10.003
- VernacularTitle:尿毒症患者肺部影像学改变与血清肌酐和尿素氮水平相关性研究
- Author:
Shengwei XIA
;
Dongyu WANG
;
Ying LI
- Publication Type:Journal Article
- Keywords:
Uremia;
Lung;
Tomography,X-ray computed;
X-ray film;
Kidney function tests
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(10):1446-1447,1448
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the relationship between serum creatinine ( Scr ) , blood urea nitrogen ( BUN) and lung image changes in uremic patients .Methods According to the chest CT ,X-ray and related findings , 256 patients with uremia were divided into 84 cases of uremia ( uremic lung group ) and non-uremic lung 172 cases ( non-uremic lung group ) .The chest CT and X-ray examination ,Scr and BUN levels were observed .Results Uremic lung group had five types of image findings,including alveolar edema (67.86%),pulmonary interstitial edema (16.67%),pulmonary congestion syndrome(8.33%),pleural effusion(4.76%) and pulmonary interstitial fibrosis (2.38%).The Scr[(1 145.6 ±236.4)μmol/L]and BUN [(38.9 ±6.1)mmol/L]levels in uremic lung group were significantly higher than those in the non-uremic lung group[(905.3 ±138.9)μmol/L,(23.8 ±5.6)mmol/L](t=8.128,4.782,all P<0.05).Conclusion The image of uremic lung is mainly pulmonary edema ,and radiological and pathological changes are closely related with Scr and BUN levels .