超声诊断外伤性肝脏出血53例分析

Ultrasound Diagnosis of 53 Cases with Traumatic Hepatic Hemorrhage

目的探讨超声在肝脏外伤性出血中的诊断价值。方法对53例超声诊断外伤所致肝脏出血的患者作回顾性分析。结果根据肝脏出血的不同情况分三型:单纯性肝内出血(Ⅰ型)8例,肝内出血合并肝包膜下出血(Ⅱ型)12例,肝内出血并肝包膜下出血伴腹腔积液(Ⅲ型)33例。病灶位于左肝9例,右肝29例,左右肝15例。结论超声在判断肝脏有否损伤,损伤的类型、部位以及有否腹腔出血有着重要的价值。

Objective To explore the diagnostic value of ultrasond in traumatic liver hemorrhage.Method 53 cases of traumatic liver hemorrhage by ultrasound diagnosis were analyzed retrospectively.Result Liver hemorrhage was divided into three types：simplex internal liver hemorrhage（type Ⅰ） 8 cases,internal liver hemorrhage merged with liver involucrum bleeding（type Ⅱ） 12 cases,internal liver hemor rhage merged with liver involucrum bleeding and ascites（type Ⅲ） 33 cases.Lesions were located at left liver 9 cases,right liver 29 cases,left and right liver 15 cases.Conclusion Ultrasond possesses significant value in judging liver from damage,damage types,location and abdominal cavity hemorrhage.