摘要
本文对43例腹部外伤患者进行了急诊超声扫查,除1例脾内血肿患者在超声监护下经保守治疗痊愈外,余42例患者均经手术证实。B型超声对脏器损伤的定位诊断符合率为74.41%,腹腔积液(血)的诊断符合率达100.0%。作者认为,B型超声对腹部外伤的及时诊断有重要价值,可作为脏器破裂或内出血的首选检查手段。另外,结合动物实验对11例患者的漏诊原因进行了分析。
43 cases of abdominal-trauma were assessed by emergency sonography,of which 42 were confirmed by operation and one of splenic hematoma was treated conservatively under the observation of sonography.The rate of coincidence of B-mode sonography in the diagnosis of localization was 74.41%.and that in the diagnosis of free fluid in the peritoneal or/and pelvic cavity was 100.00%.From the above findings it may be suggested that B-mode sonography is extremely useful in the timely diagnosis of abdominal-trauma,and that sonography can be the procedure of choice in detecting viscera rupture or internal haemorrhage.In addition,the cause of misdiagnosis in 11 cases was analysed with the.help of experimental studies.
出处
《同济医科大学学报》
CAS
CSCD
北大核心
1990年第4期277-279,共3页
Acta Universitatis Medicinae Tongji