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创伤性脾脏的超声检查:被高回声血凝块掩盖的病变中的左侧蝶形征。

Ultrasound of the traumatized spleen: left butterfly sign in lesions masked by echogenic blood clots.

作者信息

Weill F, Rohmer P, Didier D, Coche G

机构信息

Departement de Radiologie Viscerale, Centre Hospitalier et Universitaire de Besancon, France.

出版信息

Gastrointest Radiol. 1988;13(2):169-72. doi: 10.1007/BF01889050.

DOI:10.1007/BF01889050
PMID:3282965
Abstract

Ultrasonic display of blood on both sides of the splenogastric ligament (left butterfly sign) in the left traumatized patient indicates hemoperitoneum within the lesser sac. Particular attention must be paid then to the splenic parenchyma, where isoechogenic blood clots can mask a hematoma. The association of subtile parenchymal changes and of a left butterfly sign are relevant of frank splenic lesions.

摘要

脾脏外伤患者左侧脾胃韧带两侧血液的超声显示(左侧蝴蝶征)提示小网膜囊内存在腹腔积血。此时必须特别注意脾实质,等回声血凝块可能掩盖脾实质内的血肿。脾实质细微改变与左侧蝴蝶征同时出现提示存在明显的脾脏损伤。

相似文献

1
Ultrasound of the traumatized spleen: left butterfly sign in lesions masked by echogenic blood clots.创伤性脾脏的超声检查:被高回声血凝块掩盖的病变中的左侧蝶形征。
Gastrointest Radiol. 1988;13(2):169-72. doi: 10.1007/BF01889050.
2
Ultrasound in upper abdominal trauma.上腹部创伤中的超声检查
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3
Sonographic appearance of hematoma in liver, spleen, and kidney: a clinical, pathologic, and animal study.
Radiology. 1983 May;147(2):507-10. doi: 10.1148/radiology.147.2.6836131.
4
Elongated left lobe of the liver mimicking a subcapsular hematoma of the spleen on the focused assessment with sonography for trauma exam.肝脏左叶拉长,在创伤超声重点评估检查中类似于脾脏包膜下血肿。
Am J Emerg Med. 2014 Jul;32(7):814.e3-4. doi: 10.1016/j.ajem.2013.12.050. Epub 2014 Jan 3.
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Ultrasonic study of hepatic and splenic traumatic lesions.肝脏和脾脏创伤性病变的超声研究
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6
[Ultrasound and guided aspiration puncture in delayed bleeding of splenic rupture (author's transl)].超声引导下穿刺抽吸治疗脾破裂延迟出血(作者译)
Rofo. 1981 Mar;134(3):296-300. doi: 10.1055/s-2008-1056358.
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[Value of sonography in blunt abdominal trauma. A contribution based on an animal experiment study].[超声检查在钝性腹部创伤中的价值。基于动物实验研究的一项贡献]
Unfallchirurg. 1987 May;90(5):246-50.
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[The significance of abdominal puncture and lavage of the peritoneal cavity in splenic injuries].[腹腔穿刺灌洗在脾损伤中的意义]
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Hemoperitoneum after blunt abdominal trauma 27years after splenectomy: better think twice.脾切除术后27年钝性腹部创伤后出现腹腔积血:最好三思而后行。
Am J Emerg Med. 2016 Jul;34(7):1325.e3-4. doi: 10.1016/j.ajem.2015.12.032. Epub 2015 Dec 17.
10
[The role of ultrasound in the diagnosis of traumatic hemoperitoneum].[超声在外伤性腹腔积血诊断中的作用]
Bull Acad Natl Med. 1985 Apr;169(4):513-22.

本文引用的文献

1
[Ultrasonic diagnosis of intraperitoneal fluid in Morrison's pouch (and in the splenoperitoneal recess): the moon crescent sign (author's transl)].莫里森窝(及脾周隐窝)腹腔内积液的超声诊断:半月形征(作者译)
J Radiol. 1980 Apr;61(4):251-6.
2
Ultrasonic study of hepatic and splenic traumatic lesions.肝脏和脾脏创伤性病变的超声研究
Eur J Radiol. 1981 Aug;1(3):245-9.
3
[Ultrasonic diagnosis of blunt abdominal injuries].
Fortschr Med. 1981 Nov 5;99(41):1681-5.
4
Lesser sac fluid in predicting the etiology of ascites: CT findings.小网膜囊积液在预测腹水病因中的应用:CT表现
AJR Am J Roentgenol. 1982 Jul;139(1):71-4. doi: 10.2214/ajr.139.1.71.
5
Ultrasonic anatomical study of the lesser omental sac: a pictorial essay.小网膜囊的超声解剖学研究:图文综述
Eur J Radiol. 1983 May;3(2):142-7.
6
The butterfly sign: an indicator of fluid within both the greater peritoneal cavity and the lesser omental bursa.“蝶征”:大腹膜腔和小网膜囊内均有液体的一个指标。
J Ultrasound Med. 1983 Apr;2(4):161-4. doi: 10.7863/jum.1983.2.4.161.
7
Sonographic appearance of hematoma in liver, spleen, and kidney: a clinical, pathologic, and animal study.
Radiology. 1983 May;147(2):507-10. doi: 10.1148/radiology.147.2.6836131.
8
[Subcapsular hematoma of the spleen. Report of an echotomographic diagnosis].[脾包膜下血肿。超声断层诊断报告]
Minerva Chir. 1984 Apr 15;39(7):577-8.
9
[Sonography of blunt abdominal trauma (author's transl)].
Radiologe. 1982 Mar;22(3):106-11.
10
[Sonography in blunt abdominal trauma].[腹部钝性创伤中的超声检查]
Rofo. 1983 Sep;139(3):310-3. doi: 10.1055/s-2008-1055895.