METHOD FOR DIAGNOSING ACUTE RENAL FAILURE IN CHILDREN WITH SEVERE SEPSIS AND SEPTIC SHOCK

摘要

A method for diagnosing the acute renal failure in the children with the severe sepsis and the septic shock provides for Dopplerography of the renal veins. First, the ultrasonic examination of the kidneys is performed for diagnosing the background abnormalities of the development or the diseases, which may affect the results of the following examination. Then pulse-wave Dopplerography of the major renal veins is carried out. The trunk of the major renal vein is examined in the transverse scanning from the back. The pulsation index (PI) and the resistance index (RI) are calculated. When in the child with the septic shock for the left renal vein PI exceeds 0.45 and RI exceeds 0.40 while for the right renal vein PI exceeds 0.55 and RI exceeds 0.33, the acute renal failure is diagnosed.