经静脉超声造影在钝性腹部创伤患者中的应用进展  

Application progress of contrast-enhanced ultrasound in patients with blunt abdominal trauma

作　　者：刘潇宇 许珊 秦开秀[1] LIU Xiao-yu;XU Shan;QIN Kai-xiu(Department of Emergency,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400064,China)

机构地区：[1]重庆医科大学附属第二医院急诊科,重庆400064

出　　处：《中国临床医学》2023年第3期541-546,共6页Chinese Journal of Clinical Medicine

基　　金：重庆市科卫联合医学科研项目(2021MSXM162)。

摘　　要：创伤是全球面临的一个重大公共卫生问题,为及时救治创伤患者、降低其死亡率,早期诊断至关重要。然而,在腹部创伤,尤其是钝性腹部创伤患者中普遍存在早期诊断困难。基于微泡造影剂无肾毒性、无辐射、可重复使用等优点,超声造影(contrast-enhanced ultrasound,CEUS)技术在国内外已广泛应用于钝性腹部创伤患者的早期诊断。在血流动力学稳定的患者中,非手术治疗(non-operation management,NOM)是安全有效的,具有减少手术并发症、降低死亡率等优点,已成为目前腹部钝性创伤患者的标准治疗方法,而CEUS在NOM患者病情监测中具有很高的应用价值。本文就近年来CEUS在钝性腹部创伤患者的早期诊断以及在该类接受NOM患者中的监测价值进行综述。Trauma is a major public health issue in the world health care system.In order to treat the trauma patients in time and reduce their motality,early diagnosis is important.However,early diagnosis is difficult in abdominal trauma patients,especially in patients with blunt abdominal trauma.Nowadays,contrast-enhanced ultrasound(CEUS)has been widely used in the early diagnosis of blunt abdominal trauma at home and abroad with the advantages of non-renal toxicity,non-radiation and repeatability of microbubble contrast medium.Among trauma patients with stable hemodynamics,non-operative management(NOM)has become one of the standard treatment methods on account of its superiorities such as reducing operation-related complications and mortality,and CEUS has high application value during the procedure of NOM.This article reviews the early diagnosis of blunt abdominal trauma with CEUS and its application in the monitoring and follow-up in NOM patients in recent years.

关 键 词：钝性腹部创伤 超声造影 非手术治疗 

分 类 号：R641[医药卫生—外科学]