| 摘要: |
| 目的 探讨消化道出血急诊超声警惕腹主动脉夹层的重要性。方法 对2757例急性消化道出血患者行急诊超声检查腹主动脉及其主要分支,超声发现腹主动脉中内膜增厚及斑块、腹主动脉走行扭曲、腹主动脉扩张、腹主动脉夹层等异常者行腹主动脉CTA,将超声与CTA诊断腹主动脉夹层的结果进行对照分析。结果 超声发现腹主动脉异常者经CTA确诊为腹主动脉夹层共12例。与CTA结果对照,超声准确诊断腹主动脉夹层共10例,其余2例因超声发现腹主动脉斑块、管腔扩张后经CTA确诊为腹主动脉夹层。腹主动脉夹层患者的腹腔干或肠系膜上动脉开口于假腔。结论 急诊超声可及时诊断以消化道出血为主要临床表现的腹主动脉夹层或提供诊断线索。消化道出血急诊超声须警惕腹主动脉夹层,应扫查腹主动脉及其主要分支,避免漏诊该病造成严重后果。 |
| 关键词: 腹主动脉夹层 消化道出血 超声检查 |
| DOI： |
| 投稿时间：2016-07-25修订日期：2016-09-10 |
| 基金项目: |
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| Gastrointestinal hemorrhage emergency ultrasound pay attention abdominal aortic dissectionXie Jun, Li Qing, Xiang Hongwei |
| xiejun |
| () |
| Abstract: |
| ABSTRACT Objective Research the importance of gastrointestinal hemorrhage emergency ultrasound pay attention abdominal aortic dissection. Methods Emergency ultrasound examine 2757 cases gastrointestinal hemorrhage patients’ abdominal aortic and larger ramification. Ultrasound discover patients of abdominal aortic intima-media thickening and plaque, distortion, dissection ,widen examined will CT angiography. Ultrasound results contrast with the results of CT angiography. Results Among Patients of discover abnormal abdominal aorta by ultrasound, CT angiography diagnose 12 cases abdominal aortic dissection,ultrasound diagnose 10 cases ,the rest 2 cases after ultrasound find abdominal plaque or widen diagnosed abdominal dissection by CT angiography. Celiac trunk or superior mesenteric artery originate false lumen of abdominal aortic dissection. Conclusion Emergency ultrasound can prompt diagnose abdominal aortic dissection that manifested alimentary tract hemorrhage or provide diagnostic clues. Gastrointestina hemorrhage emergency ultrasound must pay attention abdominal aortic dissection, shouid examine abdominal aortic and larger ramification, avoid misdiagnosis abdominal aortic dissection cause serious consequences . |
| Key words: abdominal aortic dissection,gastrointestinal hemorrhage,ultrasonography |
