急诊床旁彩超在急性下肢动脉栓塞诊断中的作用  

The diagnostic effect of emergency bedside color doppler in acute arterial embolization of lower extremities

作　　者：殷哲煜[1] 白云燕[1] 张毅红[1] 连杰[1] 

机构地区：[1]哈尔滨医科大学附属四院超声科,黑龙江哈尔滨150001

出　　处：《中国实验诊断学》2008年第7期881-883,共3页Chinese Journal of Laboratory Diagnosis

摘　　要：目的探讨急诊床旁彩超在急性下肢动脉栓塞诊断中应用的价值。方法对58例临床医生高度怀疑下肢动脉栓塞的患者,采用急诊床旁彩色多普勒超声,行下肢动脉的短轴和长轴彩色多普勒显像。结果彩超诊断急性下肢动脉栓塞49例,超声显示下肢动脉管腔内实性低回声充填,彩色多普勒显示动脉内血流信号中断,栓塞处无血流信号显示。结论急诊床旁彩超检查是下肢动脉栓塞早期诊断、确定栓塞部位、指导治疗方法的选择、尽早发现并发症和术后随访的重要手段。Objective The use of emergency bedside color Doppler in acute arterial embolization of lower extremities. Methods 58 cases with highly suspected arterial embohzation of lower extremitied were undergone emergency bedside color Doppler, as well as the long and short axis color Doppler imaging. Results 49 cases with acute arterial embohzation of lower extremities were diagnosed by color Doppler. Utrasound showed the arterial lumens of lower extremities were filled with sohd hypoechoic materials. Color Doppler showed the arterial blood flow signal was no blood flow signal at the sites of embohzation. Conclusion Emergency bedside color Doppler played a key role in early diagnosis, localization and treatment choice for arterial examination of lower rxtremities.

关 键 词：彩色多普勒血流显像 下肢动脉 血栓栓塞 

分 类 号：R445.1[医药卫生—影像医学与核医学]