急诊超声诊断胃肠损伤和穿孔的临床价值  

Clinical Value of Emergency Ultrasonography Diagnosis on Gastrointestinal Injury andPerforation

作　　者：薛建设[1] 王敦德[1] 陈晓宇[1] 林国昌 

机构地区：[1]解放军第476医院特诊科,350002

出　　处：《伤残医学杂志》1999年第2期26-28,共3页Medical Journal of Trauma and Disability

摘　　要：目的:回顾经手术证实的27例胃肠损伤和穿孔病例,探讨超声在胃肠损伤和穿孔急诊中的应用价值。方法:应用B型超声对27例胃肠损伤和消化道溃疡穿孔病例进行急诊检查。结果:急诊超声诊断与手术诊断符合者23例(85.2％)。4种声像表现中心腹腔积液(88.9％)和游离气体征(85.2％)最为常见。结论:腹腔游离气体征是超声诊断胃肠破裂和穿孔的可靠依据。Objective: To investigate the clinical value of emergency ultrasonography diagnosis on gastrointestinal injury and perforation. Methods: B type ultrasonography was used to examine 27 cases with gastrointestinal injury and perforation in an emergency. Results: The correspondent rate of emergency ultrasonography diagnosis and operative diagnosis was 85.2% (23/27). In 4 types of imaging features, free intraperitoneal fluid (88.9%) and free intraperitoneal gas (85.2%) were most common imaging features. Conclusions Free intraperitoneal gas feature is reliable basis of diagnosis of gastrointestinal rupture and perforation by ultrasonography.

关 键 词：B型超声 胃肠损伤 上消化道溃疡穿孔 诊断 

分 类 号：R656.6[医药卫生—外科学]