Adler D D, Blane C E, Coran A G, Silver T M
Pediatrics. 1986 Oct;78(4):576-80.
Seven children who sustained splenic trauma were scanned by ultrasound and computed tomography (CT) or ultrasound and nuclear liver/spleen scan. All patients were managed conservatively and did not need abdominal surgery. On the initial sonogram, the majority of children had multiple areas of both increased and decreased echogenicity. Hematomas were followed to resolution in five of seven children and were usually multiple and hypoechoic prior to complete disappearance. On contrast-enhanced CT scans, areas of splenic hemorrhage appeared as low attenuation. Our small patient population demonstrates that, following an initial CT scan, sonography is helpful for sequential splenic imaging to show when the appearance of the spleen returns to normal. When correlated with the clinical information, such data are helpful to the clinician in determining when a child who has sustained splenic trauma may resume normal activity.
对7名遭受脾外伤的儿童进行了超声与计算机断层扫描（CT）或超声与核素肝/脾扫描。所有患者均采用保守治疗，无需进行腹部手术。在初次超声检查时，大多数儿童的脾脏有多个回声增强和减弱区域。7名儿童中有5名的血肿逐渐消退，在完全消失之前通常为多个且低回声。在增强CT扫描中，脾出血区域表现为低密度。我们的小样本患者群体表明，在初次CT扫描后，超声检查有助于对脾脏进行连续成像，以显示脾脏何时恢复正常外观。当与临床信息相关联时，这些数据有助于临床医生确定遭受脾外伤的儿童何时可以恢复正常活动。
