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总结急性草鱼胆中毒的声像图改变特点及治疗过程中肝、肾、胆囊等脏器的声像图改变。治疗前42例患者二维超声检查,肝脏均有不同程度的增大、光点增粗,39例肝内胆小管壁增粗,胆囊壁双环影21例,双肾增大伴弥漫性改变39例,伴胸水、腹水10例。治疗中期(5～7 d)肝脏仅7例增大,9例胆囊壁稍厚,13例肾脏仍呈弥漫性改变。治疗后期(10～13 d)患者肝、胆、脾、胰、双肾、膀胱声像图均大致正常。提示二维超声影像学对急性草鱼胆中毒不仅有辅助诊断意义,而且对监护其临床疗效及预后的判断有重要的临床价值。
Summary Acute grass carp gallbladder poisoning changes in the characteristics of the sonographic and liver, kidney, gallbladder and other organs during the treatment of sonographic changes. 42 cases before treatment by two-dimensional ultrasound, the liver increased in varying degrees, thick spots, 39 cases of intrahepatic cholestatic thickening, gallbladder wall double loop in 21 cases, double enlargement with diffuse changes in 39 Cases, with pleural effusion, ascites in 10 cases. In the metaphase (5-7 days), only seven cases of liver enlargement, 9 cases of gallbladder wall thicker, 13 cases of kidney still showed diffuse changes. After treatment (10 ~ 13 d) patients with liver, gallbladder, spleen, pancreas, kidneys, bladder sound image are generally normal. Tip two-dimensional ultrasound imaging of acute grass carp gallbladder poisoning is not only diagnostic significance, but also to monitor the clinical efficacy and prognosis of the judgment of important clinical value.