Relationship between serum levels of creatinine,urea nitrogen and lung image changes in uremic patients

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 .