Schnarkowski P, Brecht-Krauss D, Goldmann A, Friedrich J M, Limmer J
Abteilung Röntgendiagnostik, Universität Ulm.
Ultraschall Med. 1992 Jun;13(3):102-5. doi: 10.1055/s-2007-1005287.
200 patients with blunt abdominal trauma were scanned by ultrasound primarily. 152 showed a normal sonographic examination. In 24 patients an organic injury was visualised. These 20 splenic injuries, 2 lesions of the kidney, 1 splenic and renal lesion and 1 hepatic and splenic rupture were confirmed by CT in 9 cases, by laparotomy in 9 cases, by sonographic follow-up in 2 cases. 23 patients showed an intraabdominal fluid collection, in 16 patients a decrease was seen by ultrasound. 7 patients were directly operated on because of a visible increase of intraabdominal fluid. The lesions consisted of 3 hepatic ruptures, 2 retroperitoneal bleedings. Ultrasound is a reliable tool in the diagnosis of blunt abdominal trauma on the day of admittance and in the evaluation of injuries in respect of operative or conservative management.
200例腹部钝性伤患者首先接受超声检查。152例超声检查结果正常。24例发现器质性损伤。其中20例脾损伤、2例肾损伤、1例脾和肾损伤以及1例肝脾破裂，9例经CT证实，9例经剖腹手术证实，2例经超声随访证实。23例患者出现腹腔内积液，16例患者超声显示积液减少。7例患者因腹腔内积液明显增加而直接接受手术。损伤包括3例肝破裂、2例腹膜后出血。超声是入院当天诊断腹部钝性伤以及评估损伤以决定手术或保守治疗的可靠工具。
