实时超声显像对肝脏和脾脏闭合性损伤的诊断价值探讨

Real-Time Ultrasonography in Diagnsosis of Closed Injuries of Liver and Spleen

本文通过对114例闭合性肝、脾损伤的实时超声显像研究,根据超声声像图特征与病理改变相结合,将肝、脾的损伤程度分为四型:Ⅰ挫伤型、Ⅱ包膜下裂伤型、Ⅲ包膜裂伤型、Ⅳ、严重损伤型。重点分析了不同程度损伤所致四型的临床处理结果,认为超声显像对于肝、脾损伤程度的判定具有准确性高、能动态观察出血是否继续、判断病情的发展,同时结合血液动力学(血压、脉搏、血色素)和腹部体征的改变,为临床提供手术或非手术治疗的指征,具有较高的实用价值。

Hapatic and splenic injuries can be devided into 4 types on the basis of the study of real-time ultrasonography combined with pathalogic changes on 114 cases of closed injuries of liver and spleen,e. g. 1. contusion,2. subcapsular laceration,3. capsular laceration,4. severe wound. Based on the analysis of the signs of the ultrasonography and the clinical meanagement, it was demonstrated that the real - time ultrasonography was a valuble diagnosis means featured in precise, practical and acting as a danamic obeservation to bleeding or development of the wounds. Combined with hemodynamic examination,such as blood presure. pulse, hematochsome,and the changes of abdominal signs, the ultrasonography played a vital role in the choi-sis of surgical of nonsurgical interventions to the injuries.