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- Ultrasonographic Evaluation in the Diagnosis of Blunt Renal Trauma
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頁籤選單縮合
題 名 | Ultrasonographic Evaluation in the Diagnosis of Blunt Renal Trauma=超音波在腎創傷診斷之應用 |
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作 者 | 陳志樑; 葛應欽; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷 期 | 9:1 1998.03[民87.03] |
頁 次 | 頁21-28 |
分類號 | 416.273 |
關鍵詞 | 腎創鈍性創傷; 超音波; Blunt renal trauma; BRT; Ultrasound; US; |
語 文 | 英文(English) |
中文摘要 | 在腎鈍性創傷多種診斷中,超音波是一很重要的檢查,尤其在追蹤檢查中。如此一種非侵犯性、低消費、優良的正確診斷和到處可利用的診斷方法是需要的。在過去五年中(由1993年1月至1998年1月),我們收集了21位男性,4位女性,平均年齡36.7歲。因車禍或由高處墜下等造成腎鈍性創傷。有一些含有輕微血尿或嚴重性血尿,7位尿液正常,左腎、右腎創傷各有10位及15位。在超音波下,腎內血腫以低或高音波顯示,同時圍以正常腎組織音波。腎被膜下之血腫在超音波下,以低音波顯示於腎被膜下;如腎實質斷裂,則超音波以高或低超音波帶來改變腎之外形。這些病人在超音波監視下,配合臨床之追蹤,以臥床休息至少二星期為主,全部病人皆恢復正常。所以,以超音波影像之判斷和臨床之比較,這種超音波診斷似乎很敏感。至於用在是否開刀的依據仍有困難。 |
英文摘要 | Twenty-five patients with blunt renal trauma underwent abdominal ultrasound as their initial diagnostic study if their hemodynamic status and associated injuries did not contraindicate any delay. Renal ultrasound allowed us to identify injuries and to determine which patients required a more detailed radio-logical evaluation to obtain a definitive diagnosis. Abdominal ultrasound also had a role in the follow up of patients with blunt renal trauma. We were able to confirm that this technique is highly accurate in diagnosing lesions associated with gross hematuria, microhematuria or a normal urinalysis. Treatment for hemodynamically stable patients with blunt renal trauma included strict bedrest and observation for at least 2 weeks and repeating the renal sonogram based the patient's clinical progress. We feel the noninvasiveness and low cost of this procedure makes it. The technique of choice for the initial workup and follow up care of patients with blunt renal trauma. |
本系統中英文摘要資訊取自各篇刊載內容。