综合手术救治方舱内超声探查联合血管造影诊断血管损伤体会  

The diagnosis of vascular injury by ultrasonography combining angiography in the comprehensive surgical treatment shelter

作　　者：李世倍[1] 梁明[2] 姚天明[1] 王祖禄[1] 梁延春[1] 徐凯[1] 韩雅玲[1] 

机构地区：[1]沈阳军区总医院心血管内科,辽宁沈阳110016 [2]大连医科大学第二附属医院心内科,辽宁大连116023

出　　处：《东南国防医药》2013年第2期101-104,共4页Military Medical Journal of Southeast China

基　　金：全军"十二五"科研重点项目(BWS12J006);全军"十一五"重大专项课题(08Z001);辽宁省科技攻关课题(2011225006)

摘　　要：目的探讨综合手术救治方舱内应用便携式超声联合选择性血管造影诊断血管损伤的有效性和可行性。方法在综合手术救治方舱内制造不同部位血管损伤动物模型,应用便携式超声和血管造影在损伤后不同时间分析血管损伤的影像特点,比较其诊断效果。结果 10只实验猪共10处血管损伤,超声和血管造影于模型建立即刻、10 min、30 min分别诊断出2、5、7处血肿和10、8、6处造影剂外渗,伤后不同时间超声和造影影像具有不同的特点。结论在综合手术救治方舱内应用便携式超声联合血管造影快速诊断血管损伤准确可行。Objective To evaluate effectiveness and feasibility of diagnosis of vascular injury by ultrasonographycombining angiography in the comprehensive surgical treatment shelter.Methods Producing different site of vascular injury animal models in the comprehensive surgical treatment shelter,using ultrasonography combining angiography to diagnose the vascular injury 0/10/30 min after model created successfully,recording the character of the imaging and comparing there detection rate.Results 10 vascular injury animal models were created successfully.2/5/7 hematomas were checked out by ultrasonography,and 10/8/6 bleeding vascular injury were detected by angiography at the 0/10/30 min point.The imaging has different character at the different time point.Conclusion It was effectiveness for diagnosis of vascular injury by ultrasonography combining angiography in the comprehensive surgical treatment shelter in disaster site or battlefield first-line.

关 键 词：综合手术救治方舱 血管造影 超声 动脉损伤 诊断 

分 类 号：R814.47[医药卫生—影像医学与核医学]