评估左上腹疼痛的患者。

Evaluating Patients with Left Upper Quadrant Pain.

作者信息

Ecanow Jacob S, Gore Richard M

机构信息

Department of Radiology, NorthShore University HealthSystem, 2650 Ridge Avenue, Suite G507, Evanston, IL 60201, USA.

出版信息

Radiol Clin North Am. 2015 Nov;53(6):1131-57. doi: 10.1016/j.rcl.2015.06.003.

DOI:10.1016/j.rcl.2015.06.003

PMID:26526430

Abstract

Imaging plays a major role in the evaluation of patients who present to the emergency department with acute left upper quadrant (LUQ) pain. Multidetector computed tomography is currently the primary modality used for imaging these patients. The peritoneal reflections, subperitoneal compartment, and peritoneal spaces of the LUQ are key anatomic features in understanding the imaging appearance of acute diseases in this area. Diseases of the stomach, spleen, pancreas, and splenic flexure are encountered in patients with acute LUQ pain. Optimization of the imaging protocol is vital for accurate diagnosis and characterization of these diseases in the acute setting.

摘要

影像学在评估因急性左上腹（LUQ）疼痛就诊于急诊科的患者中起着重要作用。多排螺旋计算机断层扫描是目前用于对这些患者进行成像的主要方式。左上腹的腹膜反折、腹膜下间隙和腹膜腔是理解该区域急性疾病影像学表现的关键解剖特征。急性左上腹疼痛患者会出现胃、脾、胰腺和脾曲的疾病。在急性情况下，优化成像方案对于准确诊断和鉴别这些疾病至关重要。