Objective To study of color Doppler ultrasound Beckoning map in alcoholic cirrhosis of liver ascites pa-tient of cardiac morphology and function, to explore the clinical significance of cardiac function and morphology in alcoholic cirrhosis ascites. Method In our hospital diagnosed patients with alcoholic cirrhosis in 75 cases, including 30 cases with ascites ( group Ⅲ) , 45 cases were not accompanied by ascites ( group II) , and 50 healthy subjects were selected as control group ( group I) , all patients and healthy subjects were color Doppler ultrasound Heart-beat graph examination, and record reflect left ventricular morphology [ heart diastolic diameter ( LVDd) , left ven-tricular end systolic diameter ( LVDs) , left atrial diameter ( LA) , left ventricular posterior wall thickness ( LVP-WD), interventricular septal thickness (IVSDd)] and heart function [left ventricular ejection fraction (LVEF), left ventricular fractional shortening ( FS) , A peak E peak velocity ratio ( E/A) , late peak A velocity ( A) , early diastolic peak velocity ( EE) parameter index] , various parameter indexes of the three groups were compared. Re-sult Compared the heart morphological parameters of three groups:three groups of LVDd, LVDs, LA, LVPWD and IVSDd are significantly different, LVDd and LVDs increased gradually from group to group Ⅲ, group Ⅲ LA was significantly higher than that of group I and group Ⅱ, group Ⅲ and Ⅱ groups LVPWD and IVSDd than in group I. Compared the heart function parameters of three groups: there were statistically significant differences between the three groups of LVEF, FS, E/A, A and E, LVEF, FS, E/A and E increased gradually from group to groupⅢ, A from group I to Ⅲ group decreased. Conclusion Color Doppler ultrasound has important clinical significance in Heartbeat diagram of cardiac morphology and function in patients with alcoholic cirrhosis ascites detection, can ac-curately judge the heart pump function in patients with alcoholic cirrhosis ascites, provides the reference value for the evaluation of prognosis.

Objective To discuss the complications of liver biopsy under the guidance of color Doppler ultrasound,and explore its preventive measures.Methods 2 522 cases of patients underwent liver biopsy under the guidance of color Doppler ultrasound in our hospital from January 2009 to March 2012 were selected.The incidences of postoperative complications were surveyed and analyzed.Results Among 2 522 cases of patients with liver biopsy,22 cases(0.87%) were found bleeding,including 2 cases(0.08%) of massive haemorrhage,18 cases(0.71%) of subcapsular hemorrhage,1 case(0.04%) of hemobilia,1 case(0.04%) of delayed hemorrhages.130 cases(5.15%) were found ache.Conclusion Given liver biopsy to patients with liver increase,severe jaundice or long-term cholestasis should be careful.

Objective To explore the characteristics of Cardiac Doppler ultrasound among alcoholic liver disease.Methods 82 cases of alcoholic hepatitis and 161 cases of alcoholic cirrhosis received color Doppler echocardiography.The results were compared in two groups.Results LVDs of alcoholic cirrhosis group were 31.9±7.7,significantly higher than the alcoholic hepatitis group 29.9±3.0,P<0.05,EF(%) and FS(%) of alcoholic cirrhosis group were significantly lower than alcoholic hepatitis(64.4±12.7,36.3±9.7,vs.70.7±5.1,40.3±4.3,P<0.01).Conclusion Echocardiography might provide scientifc basis for the diagnosis and differential of clinical alcoholic liver injury.

目的探讨超声诊断在102例老年代偿期肝硬化患者左室功能检测中的临床应用价值。方法 2009年8月至2011年8月对收治的老年代偿期肝硬化患者的左心室收缩及舒张功能采用超声进行检查,并与健康对照组进行对比研究。结果老年代偿期肝硬化患者的LVEF、CO、LVFS及LVSV等反映左室收缩功能的超声多普勒参数与对照组比较无明显差异(P>0.05),VE、VA、DT及E/A等反映左室舒张功能的超声多普勒参数与对照组比较有明显差异(P<0.05)。结论代偿期肝硬化患者的早期左心室功能变化主要表现为左室舒张功能减退,在临床诊断与治疗过程中应注意其潜在的危险。应用无创彩色多普勒超声显像检测快速方便,可为临床治疗及时准确地提供参考信息。

艾滋病即获得性免疫缺陷综合征(acquircd immunodefi dency syndrome,AIDS)是由于感染了人类免疫缺陷病毒(human immunodefidency virus,HIV)后,特异性地破坏CD4T淋巴细胞,引起机体免疫功能严重受损的致死性传染病.艾滋病心脏并发症的发病率约为28%～73%[1].本研究对比分析了HIV感染潜伏期患者和AIDS患者(HIV/AIDS)的心脏超声表现,现报告如下.

Objective To investigate the ultrasonographic appearance of alcohol-related pancreas injuries,and to provide reliable information for clinical diagnosis.Methods Ultrasund examination was performed on 480 patients of alcohol abuse,163 patients with pancreas injuries were divided into long-term alcohol abuse group(35 cases) and short-term alcohol abuse group(128 cases)according to alcohol abuse time,then the pancreas structure were analyzed.Ultrasonography was utilized to evaluate the effect on pancreas size,based on the factors of time period of intoxication,the age of the individuals and quantity of alcohol consumed.Results Pancreas size of long-term alcohol abuse group was smaller than that of short-term alcohol abuse group(t=13.572,P=0.000;t=-10.010,P=0.001;t=-10.700,P=0.001).Atrophy of pancreas,strengthened echo were correlated with the patient's age and length of time intoxicated(t=2.563,P=0.012;t=3.302,P=0.001).Conclusion Ultrasonography has important value in diagnosis of alcohol-related pancreas injuries,it can provide reliable information for clinical diagnosis.

Objective To investigate the clinical value of ultrasonic examination and ultrasonography-guided puncture in patients with AIDS-related malignant tumor and opportunistic infections.Methods Ultrasonic manifestations of 108 patients with AIDS-related malignant tumor and opportunistic infections and the data of 94 patients who had been given biopsy and cytological puncture and drainage were retrospectively studied.Results Among 108 patients,27 had malignant tumor,among whom 15 had lymphoma,5 Ka-posi's sarcoma,5 uterine cervix cancer,and 2 uterine cervical intraepithelial neoplasia;81 had opportunistic infections,among whom 68 had tuberculous infection,and 13 other bacterial infection.Five patients with hepatic abscess were cured clinically.Conclusions Hodgkin lymphoma is the most common in AIDS patients with malignant tumor,followed by Kaposi's sarcoma;uterine cervical cancer and cervical intraepithelial neoplasia are commonly seen in female patients;tuberculous infection and co-existence of multiple types of infections are prevalent in AIDS patients with opportunistic infections;ultrasonic examination can detect multiple lesions,and ultra-sonography-guided puncture can provide reliable pathological diagnosis,which has important clinical application value.

Objective To investigate the ultrasound imaging characteristics of lymph node lesions in AIDS patients and the clinical application. Method A retrospective analysis of ultrasound imaging of 230 pathologically proved lymph node lesions in 77 patients was carried out. Results In 77 AIDS patients with lymph node lesions,lymph node tuberculosis was the most commonly prevalent,and fungal infection the second (penicilliosis marneffei was characteristic of AIDS); malignant lymphoma and Kaposi sar-coma were found in patients with tumors; many kinds of lymph node lesions were concurrent and easy to spread; the most common parts involved were cervix,abdomen,groin and armpit. Conclusion Ultrasound can be considered as the first imaging choice for the diagnosis and differential diagnosis of lymph node lesions in AIDS patients.

门静脉血栓 (portal vein thrombosis,PVT)是指发生在门静脉主干、肠系膜上下静脉或脾静脉的血栓.一旦形成可引起或加剧门静脉高压,由于起病隐匿,大多数患者因出现门静脉高压并发症时才得以发现,这时血栓已出现不同程度的机化,内外科处理均十分困难[1-2].2006年6月至2009年2 月,我们对16例PVT引起的消化道出血、腹水患者实施门静脉覆膜支架成形术和门静脉分流术(TIPS)治疗,取得了满意的临床疗效,现报告如下.

Objective To investigate the shock reasons for percutanuous transhepatic puncture biopsy directed by Color Doppler Ultrasound(CDU) in 24 hours.Methods One thousand patients who were operated on percutanuous transhepatic puncture biopsy directed by CDU from March 2006 to August 2007,were observed continuously before and 24 hours after PTCB and the results were analysed,retrospectively.Results The degree of psychological(nervous) tension were positively correlated with the incidence of shock and associated with the patients' somatotypes,professions and educational backgrounds.Conclusions Patients who were nervous before or during the operation would be paied attention to and the shock should be avoided.