在患有登革热的儿童的超声波上发生毛细血管泄漏
María Teresa Gutiérrez-Arcos1, Carlos Alberto Velasco-Benítez2, Daniela Alejandra Velasco-Suárez3
1Hospital Universitario del Valle, Universidad del Valle, Cali 760026, Colombia.
Children (Basel, Switzerland)
|January 28, 2026
概括
超声波有效地检测了登革热儿童的毛细血管泄漏,特别是在学龄和青少年患者中. 这种成像工具有助于早期识别严重登革热病例,并改善临床管理.
科学领域:
- 儿童传染病 儿童传染病
- 医疗成像医学成像
- 临床诊断 临床诊断 临床诊断
背景情况:
- 登革热是流行地区儿童疾病的重要原因.
- 毛细血管泄漏是严重登革热的关键指标.
- 超声波是检测毛细血管泄漏的敏感工具,但儿科数据有限.
研究的目的:
- 为了确定患有登革热的儿童中超声波检测到的毛细血管泄漏的存在.
- 确定与儿科登革热患者毛细血管泄漏相关的因素.
主要方法:
- 一项观察性,横截面,回顾性研究,涉及132名儿童 (6个月14岁) 确诊登革热和预警症状或严重登革热.
- 由放射科医生进行的标准化超声波检查.
- 使用奇平方测试进行统计分析,以评估与毛细血管泄漏的关联.
主要成果:
- 超声波在95.5%的儿科登革热病例中发现了毛细血管泄漏.
- 常见的发现包括炎 (83.3%) 和多流液 (46.2%).
- 相关因素包括学校/青少年年龄组,氨酸转移酶水平升高以及肝酶等级C-D.
结论:
- 超声波显示,在儿童登革热中检测毛细血管泄漏的高灵敏度.
- 毛细血管泄漏与学龄/青少年和肝脏参与有关.
- 系统的超声波使用可以提高早期检测严重的登革热,并优化管理在资源有限的设置.
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