肝出血的B超声像图与临床对照分析

B-Mode Ultrasound Patterns of Hepatorrhagia and Clinical Analysis

报告39例肝出血的B超声像图表现。其中有肝挫伤出血4例。肝包膜下血肿4例,肝实质及包膜破裂出血25例,肝实质内出血6例。31例为外伤性,8例为自发性。超声表现为无回声16例,低回声10例,高回声4例,混合型回声5例,肝脏正常回声4例。腹膜腔出现积液30例。超声诊断符合率为79.5％。文中主要就肝出血的B超声像图表现、漏误诊原因、非手术治疗的指征以及一些特殊征象进行了分析。

Sonographic patterns of 39 patients with hepatorrhagia were reported in this paper. 4 of the total were contusion hepatorrhagia, 4 were subeapsular, 6 were parenchyma and 25 were parenchyma and rupture of capsule, and traumatic or spontaneous hepat-orrhagic in 31 and 8 cases, respectively. The sonographic findings were nonecho in 16 patients, low-echo in 10,high-echo in 4, mixed-echo in 5 and normal echo in 4. Effusion appeared in peritoneal cavity in 30. The coincidence rate was 79.5%. Causes of misdiagnosis and negative diagnosis, indications of non-operative treatment and some special features were analysed in the paper.