摘要
腹腔实质脏器闭合性损伤是临床常见的急腹症,准确诊断和及时合理的处理是降低创伤死亡的关键。对于外伤患者,超声造影可以清晰地显示病变区的大小、形态、范围及活动性出血的部位,早期即可对脏器损伤的范围和程度进行及时准确的诊断;对于Ⅲ级、Ⅳ级创伤但血流动力学稳定,以及Ⅲ级以下伴有活动性出血的患者应用超声引导经皮注射凝血酶可以取得较好的治疗效果。本文就超声造影对腹腔实质脏器闭合性损伤的诊断价值及介入超声对其的治疗价值进行综述。
Closed injury of abdominal parenchymal organs is a common clinical acute abdomen,early correct diagnosis and timely and reasonable treatment plays a key role in reducing the mortality due to trauma.For the patients with trauma,contrastenhanced ultrasound can clearly show the size,shape,range and location of active bleeding,so the extent and degree of organ injury can be diagnosed correctly and timely in the early stage.For the patients with grade Ⅲ and Ⅳ trauma but hemodynamic stability,and grade Ⅲ with active bleeding,ultrasound guided percutaneous thrombin injection can achieve better therapeutic effect.The value of contrast-enhanced ultrasound in the diagnosis of closed abdominal organ injury and the value of interventional ultrasound in the treatment are reviewed in this article.
出处
《临床超声医学杂志》
2017年第11期770-772,共3页
Journal of Clinical Ultrasound in Medicine
关键词
超声检查
造影剂
腹腔实质脏器损伤
闭合性
介入超声
Ultrasonography
Contrast agent
Abdominal parenchymal organs injury, closed
Interventional ultrasound
