Hayden C K
Department of Special Imaging, Cook Children's Medical Center, Fort Worth, Texas 76104, USA.
Radiol Clin North Am. 1996 Jul;34(4):791-806.
In this article I have attempted to illustrate just how potentially useful the current ultrasound examination can be in the evaluation of the acute pediatric abdomen. It must be understood, however, that not all radiologists agree on the merits of ultrasound in the evaluation of the gastrointestinal tract, and in practice the choice will reflect the radiologist's experience and expertise as well as the confidence level of the referring physician. Proficiency in pediatric ultrasonography is not gained overnight and cannot be attained by those who only occasionally perform such examinations. Certainly, unskilled use of ultrasound quickly leads to disasters and to profound mistrust by referring clinicians. Nevertheless, in experienced hands ultrasonography can provide valuable information, much of which cannot be obtained by any other imaging modality, and thus will change forever the radiologist's role in the work-up of the acute pediatric abdomen.
在本文中，我试图说明当前的超声检查在评估小儿急腹症方面可能具有多大的实用价值。然而，必须明白的是，并非所有放射科医生都认同超声在评估胃肠道方面的优点，在实际操作中，这种选择将反映放射科医生的经验和专业知识，以及转诊医生的信心水平。小儿超声检查的熟练程度并非一蹴而就，那些只是偶尔进行此类检查的人是无法达到的。当然，超声使用不熟练很快就会导致灾难，并引起转诊临床医生的深深不信任。然而，在经验丰富的医生手中，超声检查可以提供有价值的信息，其中许多信息是其他任何成像方式都无法获得的，因此将永远改变放射科医生在小儿急腹症检查中的角色。
