CAJ | 학술논문

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46.7%），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。
위관찰소인신병종합정병발폐전새적림상특점，용99mTc-MAA폐관주현상방법，검사30례혈D2취체양성적신병종합정환인。결과검출폐전새환인14례（점46.7%），폐전새절단분별위1—7단。표명행간소위주적항응치료2주후，절대다수환인전유호전。설명소인신소구질병병발폐전새위림상상견，용99mTc-MAA폐관주현상진단폐전새방법가고、령민，대판단치료효과야유일정개치。
To investigate the clinical features of complicated with pulmonary embolism nephrotic syndrome in children. 99mTc-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.