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CT诊断外伤性胆囊破裂一例

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF RADIOLOGY
Issue:
4
DOI:
10.3760/j.issn:1005-1201.2002.04.028
Key Word:
No keyword available

Abstract: @@ 患者男, 36岁.上腹部被人打伤后腹胀、腹痛7 h.体检:腹部饱满,全腹有压痛、反跳痛、肌紧张,叩诊有移动性浊音,肠鸣音减弱,左上腹和右下腹穿刺抽出不凝血各5 ml.急诊CT平扫和增强扫描见大量腹水,胆囊正常结构消失,胆囊窝内有不规则高密度影,沿腹水向后下蔓延(图1),增强后胆道周围对比剂漏出,形成点状、条状高密度影(图2),肝、脾、胰、双肾未见破裂征象.CT所见提示胆囊破裂伴活动性出血.

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