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[儿童腹部多普勒超声检查]

[Abdominal Doppler sonography in childhood].

作者信息

Deeg K H, Wild F

机构信息

Kinderklinik Bamberg.

出版信息

Klin Padiatr. 1990 Nov-Dec;202(6):371-8. doi: 10.1055/s-2007-1025548.

Abstract

With the help of pulsed Doppler sonography and colour coded Doppler sonography noninvasive measurements of blood flow within the abdominal vessels are possible. Cystic and tubular abdominal masses and vascular structures can be differentiated. Laminar and turbulent flow as well as arterial and venous flow can be distinguished. The direction of blood flow can be shown. Regarding liver circulation Doppler sonography of portal hypertension, portal vein thrombosis, veno-occlusive-disease, Budd-Chiari-Syndrome and transplant rejection or other vascular complications after liver transplantation can be shown. The circulation of the spleen should be examined if aneurysms, thrombosis or portal hypertension are suspected. Mesenterial circulation should be investigated in suspected vascular occlusion, arterial stenosis and necrotizing enterocolitis. Renal Doppler sonography is helpful for the diagnosis of renal artery stenosis, arterio-venous fistulas, renal vein thrombosis and acute transplant rejection.

摘要

借助脉冲多普勒超声和彩色编码多普勒超声,可以对腹部血管内的血流进行无创测量。腹部的囊性和管状肿块以及血管结构能够得以区分。层流和湍流以及动脉血流和静脉血流均可被辨别。血流方向也能显示出来。关于肝脏循环,多普勒超声可显示门静脉高压、门静脉血栓形成、静脉闭塞性疾病、布加综合征以及肝移植后的移植排斥反应或其他血管并发症。如果怀疑有动脉瘤、血栓形成或门静脉高压,就应当检查脾脏的血液循环。对于疑似血管闭塞、动脉狭窄和坏死性小肠结肠炎的情况,应研究肠系膜循环。肾多普勒超声有助于诊断肾动脉狭窄、动静脉瘘、肾静脉血栓形成和急性移植排斥反应。

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