首页|内分泌指标及超声检查在小儿胰腺损伤早期诊断中的应用

内分泌指标及超声检查在小儿胰腺损伤早期诊断中的应用

扫码查看
腹部外伤的发生率在小儿创伤中占比逐年增加,创伤性胰腺损伤应引起临床医生的足够重视.胰腺位于腹膜后,尤其是Ⅰ、Ⅱ级损伤的患儿,其早期诊断较为困难.本文通过文献复习,分析内分泌指标及腹部超声检查在小儿胰腺损伤早期诊断中的价值,以提高早诊率,避免相关并发症的发生.内分泌指标中血清胰岛素、C肽等指标的变化,对于诊断和评估小儿胰腺损伤有一定的优势,可作为小儿胰腺损伤病情的预警指标.超声弹性成像技术为胰腺损伤的诊断和鉴别提供了新的方法;而对比增强超声在识别患儿胰腺损伤中具有较高的特异度及敏感度,由于其无放射性损害,有望成为CT检查的替代方案.
Application of endocrine indices and ultrasound examination in the early diagnosis of pediatric pancreatic injury
The incidence rate of abdominal trauma is increasing year by year in pediatric trauma,and traumatic pancreatic injury should be taken seriously by clinicians.The pancreas is located behind the peritoneum,and it is difficult to make an early diagnosis of pancreatic injury,especially in children with grade Ⅰ/Ⅱ injury.Through a literature review,this article analyzes the application value of endocrine indices and abdominal ultrasound in the early diagnosis of pediatric pancreatic injury,so as to improve the rate of early diagnosis and avoid the onset of related complications.Changes of the endocrine indices such as serum insulin and C Peptide have certain advantages in diagnosing and evaluating the degree of pediatric pancreatic injury and can thus be used as early warning indices for pediatric pancreatic injury.Ultrasound elastography provides a new method for the diagnosis and differentiation of pancreatic injury;contrast-enhanced ultrasound,which has no radioactive damage,has relatively high specificity and sensitivity in identifying pediatric pancreatic injury,and therefore,it is expected to become an alternative to CT examination.

Abdominal InjuriesPancreasChildEarly Diagnosis

金明均、孙溶涓、董亮、詹江华

展开 >

天津市儿童医院(天津大学儿童医院)外科,天津 300074

天津市儿童出生缺陷防治重点实验室,天津 300134

天津医科大学研究生院,天津 300070

腹部损伤 胰腺 儿童 早期诊断

天津市公共卫生科技重大专项天津市应用基础研究项目新疆维吾尔自治区自然科学基金新疆维吾尔自治区自然科学基金

21ZXGWSY0007022JCZDJC002902022D01A272021D01A38

2024

临床肝胆病杂志
吉林大学

临床肝胆病杂志

CSTPCD北大核心
影响因子:1.428
ISSN:1001-5256
年,卷(期):2024.40(3)
  • 38