| 摘要: |
| 腹腔实质脏器闭合性损伤是临床常见的急腹症，早期正确的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，超声造影可以清晰的显示病变区的大小、形态、范围以及活动性出血的部位，早期即可对脏器损伤的范围及程度进行及时正确的诊断。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采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脏器损伤的诊断价值及介入超声对腹腔脏器损伤的治疗价值进行综述，探讨超声对腹腔实质脏器闭合性损伤的诊治价值。 |
| 关键词: 腹腔实质脏器闭合性损伤 超声造影 介入超声 诊疗价值 |
| DOI： |
| 投稿时间：2017-03-15修订日期：2017-10-10 |
| 基金项目: |
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| Value of Ultrasonography in Diagnosis and Treatment of Closed Injury of Abdominal Parenchymal Organs |
| duyan |
| () |
| Abstract: |
| Closed injury of abdominal parenchymal organs is a common clinical acute abdomen, early correct diagnosis and timely and reasonable treatment is the key to reduce the mortality of trauma. For the patients with trauma, contrast-enhanced 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 abdominal organ injury and the value of interventional ultrasound in the treatment of abdominal organ injury are reviewed in this article, objective to investigate the value of ultrasonography in diagnosis and treatment of closed injury of abdominal parenchymal organs. |
| Key words: Closed injury of abdominal parenchymal organs Contrast-enhanced ultrasound Interventional ultrasound |
