Horng A, Reiser M F, Clevert D-A
Institut für Klinische Radiologie, Klinikum der Ludwig-Maximilians-Universität München, Campus Grosshadern, München, Deutschland.
Radiologe. 2010 Mar;50(3):214-25. doi: 10.1007/s00117-009-1901-4.
Acute abdomen is a serious clinical situation and prompt imaging is mandatory so that appropriate therapeutic measures can be taken. Multiple diseases can present with the clinical signs and symptoms of acute abdomen. Ultrasound is widely available and can be performed expeditiously. Recently, major technical innovations in ultrasound technology were introduced which greatly enhanced the diagnostic accuracy in the evaluation of acute abdomen. Contrast-enhanced ultrasound is among these valuable innovations. In this article the application of modern ultrasound techniques for the diagnosis of the most common causes of acute abdomen is outlined, which may be due to diseases of the gastro-intestinal tract, parenchymal organs in the upper abdomen as well as vascular disorders. Moreover, the diagnostic efficacy and the value as compared to other imaging modalities are analyzed.
急腹症是一种严重的临床情况，必须迅速进行影像学检查，以便采取适当的治疗措施。多种疾病可表现出急腹症的临床体征和症状。超声检查广泛可用且可迅速进行。最近，超声技术引入了重大技术创新，极大地提高了急腹症评估的诊断准确性。超声造影就是这些有价值的创新之一。本文概述了现代超声技术在诊断急腹症最常见病因中的应用，这些病因可能是胃肠道疾病、上腹部实质器官疾病以及血管疾病。此外，还分析了其与其他成像方式相比的诊断效能和价值。
