Radiology, Evangelismos Hospital, 5 Dorylaiou, Athens, Greece.
Ultraschall Med. 2012 Feb;33(1):60-7. doi: 10.1055/s-0031-1273442. Epub 2012 Jan 24.
Patients with blunt abdominal trauma are initially imaged with ultrasound (US) for the evaluation of free abdominal fluid. However, lacerations of solid organs can be overlooked. Although computed tomography (CT) is the gold standard technique for abdominal trauma imaging, overutilization, ionizing radiation, need to transport the patient and potential artifacts are well known disadvantages. Contrast-enhanced US (CEUS) can be used as an imaging tool between the two methods. It can easily and reliably reveal solid abdominal organ injuries in patients with low-energy localized trauma and decrease the number of CT scans performed. It can be rapidly performed at the patient's bedside with no need for transportation. There are only very few contraindications and anaphylactoid reactions are extremely rare. Altogether, CEUS has proved to be very helpful for the initial imaging of traumatic lesions of the liver, kidney and spleen, as well as for patient follow-up.
对于钝性腹部创伤患者，最初通常使用超声（US）进行检查以评估有无游离腹腔积液。然而，实质脏器的撕裂伤可能会被漏诊。虽然计算机断层扫描（CT）是腹部创伤成像的金标准技术，但过度使用、电离辐射、需要转运患者以及潜在的伪影都是其众所周知的缺点。对比增强超声（CEUS）可作为两种方法之间的影像学检查手段。它可以在低能量局限性创伤的患者中轻松、可靠地显示实质腹部器官损伤，并减少 CT 扫描的次数。它可以在患者床边快速进行，无需转运。其禁忌症很少，过敏反应极为罕见。总之，CEUS 已被证明对肝脏、肾脏和脾脏创伤性病变的初始成像以及患者随访非常有帮助。
