哨兵血块征:急性上腹部钝挫伤的重要征象

目的：探讨急性上腹部钝挫伤哨兵血块征的价值。方法：收集本院１９９４年１月－２０００年7月的98例上腹部损伤共119个部位的病例资料，结果：哨兵血块征共67例。依次为脾损伤53例，肝损伤8例，肠/肠系膜损伤6例。哨兵血块征为唯一征象的有14例。结论：哨兵血块征是上腹部脏器损伤诊断的一个重要征象，不仅敏感而且准确，在脾损伤尤其是肠/肠系膜损伤诊断时更重要，对临床亦有重要指导作用。

The sentinel clot sign:an important sign in blunt upper abdominal frauma

Objective:To evaluate the sentinel clot sign in blunt upper abdominal trauma. Methods:From January 1994 to July 2000, 98 patients with 119 areas of blunt abdominal trauma,who had CT scans and clinical data,were retrospectively reviewed.Results:There was a sentinel clot sign in 67 cases,including 53 of spleen trauma, 8 of liver and 6 of intestine/mesentery trauma. In 14 cases, the sentinel clot sign was the only positive finding.Conclusion:The sentinel clot sign was a sensitive, specific and important sign in blunt upper abdominal trauma,of particular in spleen injury and intestine/mesentery trauma.