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上消化道出血的急诊彩色多普勒超声检查
引用本文:关少卿,智慧,杨秀娟,罗葆明. 上消化道出血的急诊彩色多普勒超声检查[J]. 岭南急诊医学杂志, 2006, 11(3): 206-207
作者姓名:关少卿  智慧  杨秀娟  罗葆明
作者单位:顺德区大良医院;中山大学附属第二医院超声科
摘    要:目的:探讨上消化道出血急诊彩色多普勒超声检查的价值。方法:234例病人进行了急诊彩色多普勒超声检查,根据最终临床诊断分为门脉高压组和非门脉高压组,计算彩色多普勒超声对上消化道出血病因诊断的准确性。结果:非门脉高压组103例,门脉高压组131例。CDU诊断门脉高压的敏感性、特异性和准确性分别为94.7%、100%和97.0%。结论:急诊彩色多普勒超声检查有助于对上消化道出血的病因作出及时的初步诊断。

关 键 词:上消化道出血  病因  彩色多普勒超声  诊断
修稿时间:2006-04-16

The Emergency Examination of Color Doppler Ultrasonography in Patients with Upper Gastrointestinal Bleeding
GUAN Shao-qing, ZHI Hui, YANG Xiu-juan, et aL. The Emergency Examination of Color Doppler Ultrasonography in Patients with Upper Gastrointestinal Bleeding[J]. Lingnan Journal of Emergency Medicine, 2006, 11(3): 206-207
Authors:GUAN Shao-qing   ZHI Hui   YANG Xiu-juan   et aL
Affiliation:1. Daliong Hospital of Shunde , Guangdong Province, 528300; 2. Department of Ultrasound in Medicine, the Second Affiliated Hospital, Sun Yat-sen University,Guangzhou
Abstract:Objective: To investigate the value of emergency examination of color Doppler ultrasonography (CDU) in patients with upper gastrointestinal bleeding Methods: Two hundred and thirty-four patients with upper gastrointestinal bleeding were examined by CDU According to clinical diagnosis, the patients divide into portal hypertension group and non portal hypertension group The accuracy of CDU in diagnosing the causes of upper gastrointestinal bleeding was calculated Results: One hundred and three patients were in non portal hypertension group One hundred and thirty-one patients were in portal hypertension group The sensitivity, specifity and accuracy of CDU in diagnosing portal hypertension was 947%, 100%, and 970%, respectively Conclusions: The emergency examination of CDU with upper gastrointestinal bleeding is useful for preliminary diagnosing the causes of upper gastrointestinal bleeding as soon as possible
Keywords:upper gastrointestinal bleeding  aetiology  color Doppler ultrasonography  diagnosis
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