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急诊环境下的胃肠超声

Gastrointestinal Ultrasound in Emergency Setting.

作者信息

Boccatonda Andrea, D'Ardes Damiano, Tallarico Viola, Vicari Susanna, Bartoli Elena, Vidili Gianpaolo, Guagnano Maria Teresa, Cocco Giulio, Cipollone Francesco, Schiavone Cosima, Accogli Esterita

机构信息

Internal Medicine, Bentivoglio Hospital, AUSL Bologna, Bentivoglio (BO), 40010 Bologna, Italy.

Department of Medicine and Aging Science, Institute of "Clinica Medica", "G. d'Annunzio" University, 66100 Chieti, Italy.

出版信息

J Clin Med. 2023 Jan 19;12(3):799. doi: 10.3390/jcm12030799.

Abstract

Acute bowel diseases are responsible for more than one third of subjects who were referred to the emergency department for acute abdominal pain and gastrointestinal evaluation. Gastrointestinal ultrasound (GIUS) is often employed as the first imaging method, with a good diagnostic accuracy in the setting of acute abdomen, and it can be an optimal diagnostic strategy in young females due to the radiation exposure related to X-ray and computed tomography methods. The physician can examine the gastrointestinal system in the area with the greatest tenderness by ultrasound, thus obtaining more information and data on the pathology than the standard physical examination. In this comprehensive review, we have reported the most relevant indications and advantages to using ultrasound in the investigation of abdominal acute pain.

摘要

急性肠道疾病是因急性腹痛和胃肠道评估而被转诊至急诊科的患者中超过三分之一的病因。胃肠道超声(GIUS)常被用作首选成像方法,在急腹症诊断中具有良好的准确性,并且由于X射线和计算机断层扫描方法存在辐射暴露问题,对于年轻女性而言它可能是一种最佳的诊断策略。医生可以通过超声检查压痛最明显区域的胃肠道系统,从而比标准体格检查获得更多有关病理情况的信息和数据。在这篇综述中,我们报告了在腹部急性疼痛检查中使用超声的最相关适应证和优势。

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