The Value of Ultrasound in the Evaluation of Cardiorenal Injury in Patients with Dquat Poisoning
Objective:To investigate the value of ultrasound in the evaluation of cardiorenal injury in patients with Dquat poisoning.Method:The clinical data of 70 patients with Dquat poisoning admitted to Fuyang People's Hospital were retrospectively analyzed.According to whether cardiorenal injury occurred within 6 h after admission,they were divided into cardiorenal injury group(n=15)and non-cardiorenal injury group(n=55).The peak flow velocity(Vmax)and resistance index(RI)of the proper hepatic artery were measured by ultrasonography.The levels of procalcitonin,creatine kinase(CK),blood urea nitrogen(BUN),serum creatinine(Scr),Vmax and RI were compared between the two groups.Pearson method was used to analyze the correlation between CK,BUN,Scr,Vmax,RI and cardiorenal injury.Receiver operating characteristic(ROC)curve was drawn to analyze the value of ultrasound in the evaluation of cardiorenal injury in patients with Dquat poisoning within 6 h after admission.Result:There was no significant difference in procalcitonin between the two groups(P＞0.05).CK,BUN,Scr,Vmax and RI in the cardiorenal injury group were higher than those in the non-cardiorenal injury(P＜0.05).Pearson's results showed that CK,BUN,Scr,Vmax and RI were positively correlated with cardiorenal injury(P＜0.05).ROC curve results showed that the AUC of single assessment of CK,BUN,Scr,Vmax and RI for cardiorenal injury in patients with Dquat poisoning within 6 h after admission respectively was 0.791,0.802,0.821 and 0.737,and the AUC of the combined detection of Vmax and RI was higher than that of the single detection of each index(P＜0.05).Conclusion:CK,BUN,Scr,Vmax and RI all have important value in the assessment of cardiorenal injury in patients with Dquat poisoning within 6 h after admission,and the value of Vmax combined with RI is higher.
国家科技期刊平台
NSTL
万方数据
维普
