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目的 结合心电图、生化等指标观察严重急性呼吸综合征 (SARS)患者心脏及腹部各脏器超声影像学改变。方法 采用床旁超声观察我院SARS患者 5 7例 ,与相应正常参考值比较 ,分析所见指标改变与SARS的关系。结果 超声心动图显示各指标改变无显著差异 ,但肝脏、脾脏增大具有显著差异 (P <0 .0 0 1)。结论 SARS患者肝脏、脾脏在超声影像学的改变与SARS病毒的侵袭有关。超声心动图观察到部分病人左室增大 ,但是差异不显著。
Objective To observe the echocardiographic changes of heart and abdominal organs in patients with severe acute respiratory syndrome (SARS) by combining with electrocardiogram and biochemistry. Methods Fifty-seven cases of SARS in our hospital were observed by bedside ultrasound and compared with the corresponding normal reference values to analyze the relationship between the changes of the indicators and SARS. Results Echocardiography showed no significant difference in each index, but the liver and spleen increased significantly (P <0.01). Conclusion The change of ultrasound imaging in the liver and spleen of SARS patients is related to the invasion of SARS. Echocardiography was observed in some patients with left ventricular enlargement, but the difference was not significant.